NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A client with a diagnosis of acoustic neuroma asks the nurse to explain what is wrong with his hearing. The nurse's response is based on the knowledge that an acoustic neuroma is:
Correct Answer: C
Rationale: An acoustic neuroma is a benign tumor of the eighth cranial (auditory) nerve that can affect hearing and balance and may cause compression of nearby structures, such as the cerebellum. Answer A is incorrect because acoustic neuromas are benign, not malignant. Answer B is incorrect because it involves the fifth cranial nerve, which is unrelated. Answer D refers to a glomus tumor, not an acoustic neuroma.
Question 2 of 5
A client expresses concern about facial appearance after surgery for excision of a melanoma on the side of the nose. What is the best response by the nurse?
Correct Answer: C
Rationale: This response addresses the client's concern about appearance by providing education on wound care to minimize scarring, promoting empowerment and trust. A deflects the concern without addressing it. B dismisses the client's feelings and focuses on an unrelated issue. D assumes scarring and offers a cosmetic solution prematurely, which may not address the client's emotional needs.
Question 3 of 5
The nurse has reinforced teaching with the parents of a 6-year-old client with chronic allergic rhinitis that is triggered by dust and pollen. Which of the following statements by the parents would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: A,C,D,E
Rationale: Correct choices reduce allergen exposure: HEPA filters remove dust/pollen, hypoallergenic covers prevent dust mite exposure, damp mopping reduces dust, and removing carpets eliminates allergen reservoirs. Keeping windows open increases pollen exposure, worsening symptoms.
Question 4 of 5
The nurse is obligated to make a report for which situations? Select all that apply.
Correct Answer: B,D,E
Rationale: Reporting is mandatory for suicides, suspected elder abuse, and impaired providers. Reporting to employers or spouses violates confidentiality.
Question 5 of 5
The nurse is caring for a 75-year-old client who is admitted to the hospital with pneumonia. What assessment finding is most consistent with the diagnosis of delirium?
Correct Answer: B
Rationale: Inattention and disorientation are hallmark signs of delirium, especially in elderly clients with pneumonia. Other findings suggest different conditions.