NCLEX-PN
NCLEX PN Exam Practice Test Questions
Extract:
Question 1 of 5
A home health nurse visits a client with Alzheimer disease. The caregiver appears frustrated and reports that the client has been persistently restless and agitated. Which nursing action is the priority at this time?
Correct Answer: B
Rationale: Assessing for environmental triggers like noise is the priority, as it may contribute to agitation in Alzheimer's. Other actions are secondary.
Question 2 of 5
On admission to the psychiatric unit, the client is trembling and appears fearful. The nurse's initial response should be to
Correct Answer: B
Rationale: Introduce him/herself and accompany the client to the client's room. This reduces anxiety by providing a calm and secure environment.
Question 3 of 5
The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
Correct Answer: C
Rationale: The arrival of the imperfect child that the mother had not envisioned places the mother in a situational crisis.
Question 4 of 5
The oncoming nurse is receiving report on 4 clients. Which should be the priority assessment?
Correct Answer: A
Rationale: Elevated blood pressure (160/88 mm Hg) post-carotid endarterectomy risks hematoma or stroke, making it the priority. Other conditions are less urgent.
Question 5 of 5
The nurse is screening clients for those at risk of developing syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should recognize that the client at highest risk for developing SIADH is a client with
Correct Answer: B
Rationale: Small cell lung cancer is strongly associated with SIADH due to ectopic ADH production. Other conditions listed are not significant risk factors.