NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A male client calls for a nurse because of chest pain. Which statement by the client would require the most immediate action by the nurse?
Correct Answer: D
Rationale: Chest pain radiating to the jaw and left arm is a classic symptom of myocardial infarction, requiring immediate action to assess for a life-threatening cardiac event.
Question 2 of 5
A nursing advocate is one who:
Correct Answer: B
Rationale: Nurse advocates work with clients to provide information and assistance is decision-making. The decisions and care that occur from these decisions are based on the right of the client to self-determination.
Question 3 of 5
The nurse is with a client with obsessive-compulsive disorder who counts backwards several times each day. Which of the following statements by the client would indicate an improvement in the client's condition? Select all that apply.
Correct Answer: A,C,E
Rationale: Statements A, C, and E indicate improvement as the client uses adaptive coping strategies (walking, deep breathing) and reports reduced compulsive behavior (delayed counting). Statement B shows reliance on others, and D justifies the compulsion, both indicating no improvement.
Question 4 of 5
The day shift nurse provides handoff of care report to the oncoming night shift nurse. Which of the following statements by the nurse are appropriate to include in the report? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Acetaminophen administration (
A), morphine effect (
B), irrigation replacement (
D), and ultrasound schedule (E) are relevant to care. Family behavior (
C) is subjective and inappropriate.
Question 5 of 5
The nurse monitoring a client with appendicitis will expect the client to give which description of the associated abdominal pain?
Correct Answer: C
Rationale: Appendicitis typically causes severe pain in the right lower quadrant (
C). Upper abdominal burning (
A) suggests gastritis, left-sided pain (
B) is atypical, and shoulder pain (
D) may indicate referred pain from other conditions.