NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A client with a history of increased intracranial pressure is admitted to the hospital for severe headaches. The client suddenly vomits and states, 'That's weird, I didn't even feel nauseated.' Which action should the nurse take next?
Correct Answer: C
Rationale: Sudden vomiting without nausea in increased ICP suggests worsening pressure, requiring immediate RN notification (
C). Documentation (
A), lowering the bed (
B), and antiemetics (
D) are secondary.
Question 2 of 5
The client is admitted for a bronchoscopy this morning. Which question is essential for the nurse to ask the client?
Correct Answer: A
Rationale: Bronchoscopy requires NPO status to prevent aspiration; confirming last intake is essential. Laxatives, procedure knowledge, or sedation history are secondary.
Question 3 of 5
The nurse is talking with a client who is scheduled for cardiac catheterization. Which of the following findings would be essential to follow up? Select all that apply.
Correct Answer: B,D,E
Rationale: Allergy to contrast (
B), recent metformin use (
D), and elevated creatinine (E) increase risks during cardiac catheterization (anaphylaxis, lactic acidosis, and renal injury). CRP (
A) and PR interval (
C) are less urgent.
Question 4 of 5
The client with Cushing's disease will most likely exhibit signs of:
Correct Answer: A
Rationale: Cushing's disease causes hypercortisolism, leading to hypokalemia due to increased potassium excretion. Hypernatremia , hypocalcaemia , and hypermagnesemia are not typical in Cushing's disease.
Question 5 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.