NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A hospitalized client asks what is wrong with the person in the next bed. How should the nurse reply?
Correct Answer: C
Rationale: HIPAA mandates confidentiality; stating that information is confidential protects patient privacy without engaging further.
Question 2 of 5
A client who has ulcerative colitis is receiving prednisone. The nurse knows the primary reason the client is receiving prednisone is to:
Correct Answer: A
Rationale: Prednisone, a corticosteroid, suppresses bowel inflammation in ulcerative colitis, reducing symptoms like diarrhea and bleeding. It does not affect peristalsis, acid, or bacteria directly.
Extract:
A nurse finds the victim under the wreckage of a collapsed building. The individual is conscious, breathing satisfactorily, and lying on the back complaining of pain in the back and an inability to move the legs.
Question 3 of 5
The nurse should first:
Correct Answer: A
Rationale: Keeping the patient immobile and seeking help prevents further spinal cord injury.
Extract:
Question 4 of 5
The nurse is caring for clients in the student health center. A client confides to the nurse that the client's boyfriend informed her that he tested positive for hepatitis B. Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: Hepatitis B is transmitted through sexual contact or parenteral routes. Assessing exposure by asking about unprotected sex is the best initial response to determine the client’s risk and guide further actions (e.g., testing, HBIG, or vaccination).
Choice A is empathetic but non-assessing, B and C assume exposure without confirmation, and D prioritizes assessment.
Extract:
Nitroglycerin SL is prescribed for anginal pain.
Question 5 of 5
When teaching how to use nitroglycerin, the nurse tells the client to place 1 tablet under the tongue when pain occurs and to repeat the dose in 5 minutes if pain persists. The nurse should also tell the client to
Correct Answer: D
Rationale: Anginal pain, which can be anticipated during certain activities, may be prevented by dilating the coronary arteries immediately before engaging in activity, and an additional tablet post-attack can prevent recurrence.