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PN NCLEX Practice Exam Questions

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Question 1 of 5

A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:

Correct Answer: A

Rationale: Clients with severe depression and suicidal ideation often struggle to express feelings of low self-worth , which contributes to their emotional withdrawal. Discussing remorse or dependence may be present but is less central. Expressing anger is more typical in other conditions like bipolar disorder.

Question 2 of 5

Thirty-six hours after major surgery, a client has a temperature of 100°F. What is the most likely cause of the temperature elevation?

Correct Answer: B

Rationale: Atelectasis, due to reduced lung expansion post-surgery, is a common cause of low-grade fever within 24–48 hours. Dehydration, wound infection (typically later), or bladder infection are less likely without specific symptoms.

Question 3 of 5

A client has been on lithium carbonate therapy for 7 days. Which of the following findings would be most important to report to the health care provider?

Correct Answer: A

Rationale: Diarrhea, vomiting, and tremor (
A) suggest lithium toxicity, requiring immediate reporting. Dry mouth (
B) is common, hallucinations (
C) are unrelated, and a lithium level of 1.3 (
D) is within therapeutic range.

Question 4 of 5

A client with chronic heart failure is being discharged home on furosemide and supplementary potassium chloride tablets. Which instructions related to the potassium supplement should the nurse reinforce to the client?

Correct Answer: D

Rationale: Potassium chloride tablets should be taken with water and the client should remain upright to prevent esophageal irritation or ulceration (
D). Protein and vitamin D (
A) do not enhance absorption, crushing tablets (
B) can cause irritation, and taking on an empty stomach (
C) is unnecessary.

Question 5 of 5

A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory results, the nurse would expect to find elevation in which of the following values?

Correct Answer: C

Rationale: Bilirubin. Hepatitis B causes liver dysfunction, leading to elevated bilirubin levels.

Similar Questions

The nurse is with a client with obsessive-compulsive disorder who counts backwards several times each day. Which of the following statements by the client would indicate an improvement in the client's condition? Select all that apply.
A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on death and dying at this age?
The nurse is talking with the parent of an adolescent client who has infectious mononucleosis. Which of the following statements by the parent would require follow-up?
An adult is admitted to the long-term care facility. She had a cerebrovascular accident and no longer needs acute care. The client has left side hemiplegia. Because of the type of deficit the client has, the nurse knows that this woman is at increased risk for which of the following?
The nurse has completed teaching the client about his low-sodium, low-fat diet. Which menu, if selected by the client, would indicate to the nurse that the client understands his diet?

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