NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
A child with a high level of school absenteeism is diagnosed with separation anxiety disorder. The school nurse should remind the child’s parent to take what action?
Correct Answer: C
Rationale: Gradual exposure to school, starting with partial attendance (
C), helps desensitize the child to separation anxiety. Staying home (
A) reinforces avoidance, schoolwork at home (
B) delays reintegration, and parental presence (
D) hinders independence.
Question 2 of 5
The nurse is caring for a client with immune thrombocytopenic purpura. Which client statements indicate a need for further teaching? Select all that apply.
Correct Answer: C,E
Rationale: ITP increases bleeding risk. Using a safety razor (
C) risks cuts, and ibuprofen (E) inhibits platelets, both requiring further teaching. Soft toothbrush (
A), safe walking (
B), and docusate (
D) are appropriate.
Question 3 of 5
An 8-year-old hospitalized due to a bowel obstruction is to be discharged home with a temporary colostomy. The parents’ primary language is Vietnamese, and their English proficiency is very limited. What is the best approach for the nurse to use when reinforcing instructions to the parents on how to care for the child at home?
Correct Answer: D
Rationale: A professional interpreter (
D) ensures accurate communication, critical for colostomy care. Simple English (
A) risks misunderstanding, pictures (
B) are insufficient alone, and informal translators (
C) may lack medical accuracy.
Question 4 of 5
The nurse is caring for a client with panic disorder who is reporting palpitations and intense feelings of fear. The client is shaking and hyperventilating. Which of the following actions would be a priority for the nurse to take?
Correct Answer: D
Rationale: Staying with the client (
D) provides safety and reassurance, reducing fear and hyperventilation during a panic attack. Hallucinations (
A) are not typical, medication (
B) is secondary, and exploring triggers (
C) is appropriate after stabilization.
Question 5 of 5
A client is to be discharged on enoxaparin (Lovenox) for the next two days. Which comment by the client indicates a need for further instruction?
Correct Answer: B
Rationale: Enoxaparin is injected subcutaneously in the abdomen, not the thigh, indicating a need for further teaching.