NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A hearing-impaired client is becoming withdrawn and depressed. He reports that even with a hearing aid, he is having increased difficulty hearing. Which suggestion is least likely to be helpful?
Correct Answer: A
Rationale: A hearing guide dog is less helpful for communication compared to social engagement, TDD, or closed-caption TV, which directly address hearing loss.
Question 2 of 5
In the past 12-month period, a man has been arrested twice for driving while intoxicated. He is able to perform his activities of daily living without the use of alcohol and restricts his drinking to weekends. This client meets the criteria for which of the following?
Correct Answer: C
Rationale: Repeated legal issues from weekend drinking indicate substance abuse, as it causes significant impairment without daily dependence.
Question 3 of 5
A female client is admitted for a breast biopsy. She says, tearfully to the nurse, 'If this turns out to be cancer and I have to have my breast removed, my partner will never come near me.' The nurse's best response would be which of these statements?
Correct Answer: D
Rationale: This is a general lead-in type of response that encourages further discussion without focusing on an area that the nurse, but possibly not the client, feels is a problem.
Question 4 of 5
An adult is admitted with advanced cancer of the GI tract. What question must be included in the admission assessment?
Correct Answer: B
Rationale: Advanced cancer requires discussion of end-of-life preferences. Asking about advance directives ensures the client's wishes are documented, taking priority over dietary preferences, specific CPR desires, or illness understanding.
Question 5 of 5
The parents of an adolescent who is being treated for a serious head injury ask why their child is being kept unconscious. The parents say, 'The doctor said he was going to give him medicine to keep him unconscious for a few days. Why? We want to talk to him. What is going on?' What should the nurse include when responding to the parents?
Correct Answer: B
Rationale: Barbiturates induce coma in severe head injuries to reduce cerebral metabolism and intracranial pressure, protecting the brain, unlike pain control or restlessness management.