NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client says to the nurse, 'I have something to tell you because I know you can keep a secret.' To respond to his statement, the nurse should make which of these remarks?
Correct Answer: C
Rationale: The nurse must maintain professionalism and transparency, as confidentiality cannot be guaranteed if the information involves safety or treatment.
Question 2 of 5
The nurse is caring for the 30-year-old female client. Which concems stated by the client should alert the nurse to the possibility of endometriosis? Select all that apply.
Correct Answer: C,D,E
Rationale: A. Vaginal dryness is not a symptom of endometriosis. B. Premenstrual tension headache is not a symptom of endometriosis. C. Endometriosis is the presence of normal endometrial tissue in sites outside the endometrial cavity. The tissue responds to hormonal influence, and therefore during menstruation the tissue bleeds. This bleeding causes inflammation and pain at the time of menstruation. D. Women with endometriosis are at increased risk for infertility, although the exact reason is unknown. E. Depending on the location of the endometrial tissue, clients may experience pain with intercourse.
Question 3 of 5
The nurse is preparing to review the HCP's written instructions with the parent of the pediatric client who has diarrhea caused by Escherichia coli (E. coli). Which instruction should the nurse question?
Correct Answer: B
Rationale: Encouraging any beverage may include inappropriate choices (e.g., sugary drinks) that worsen diarrhea; rehydration solutions are preferred.
Question 4 of 5
A 15-year-old girl is brought to the hospital by her parents. She is 5 feet, 7 inches tall and weighs 80 pounds. Her parents report that she eats very little. This evening, she is very difficult to arouse and had to be carried into the emergency room. A diagnosis of anorexia nervosa is made. Which of the following is the nurse most likely to observe/measure when assessing this client?
Correct Answer: D
Rationale: Tachycardia is common in severe anorexia due to dehydration and electrolyte imbalances, reflecting cardiovascular stress.
Question 5 of 5
A 23-year-old premedical student is admitted to a psychiatric hospital in a withdrawn, catatonic state. For two days prior to admission, she remained in one position without moving or speaking. On the unit, she continues to exhibit waxy flexibility as she sits all day. What is the first priority for the nurse during the initial phase of hospitalization?
Correct Answer: A
Rationale: Prolonged immobility in catatonia risks edema and cyanosis, making monitoring extremities the priority to prevent physical complications.