NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is meeting with the palliative care team. After the meeting, the client's family asks for clarification about palliative care. Which statements about palliative care are accurate? Select all that apply.
Correct Answer: A,C,E
Rationale: Palliative care aims to improve quality of life and can be provided at any stage of illness (
A). It involves a multidisciplinary team to address various needs (
C). It also focuses on symptom relief for chronic illnesses (E). Palliative care is not limited to terminal diagnoses (B is incorrect) and is distinct from hospice care, which is specifically for end-of-life (D is incorrect).
Question 2 of 5
The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?
Correct Answer: A
Rationale: My pain is deep in my chest behind my breast bone. This describes the typical substernal pain of acute angina.
Question 3 of 5
The practical nurse is performing a physical examination with the registered nurse on a 2-year-old with cold symptoms and a fever at home of 101.7 F (38.7 C). Which interventions will enhance the child's cooperation during the examination? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Playing with the stethoscope (
A), starting in the parent's lap (
B), friendly interaction (
C), and using a puppet (
D) reduce anxiety and enhance cooperation. Vital signs (E) may distress the child if done first.
Question 4 of 5
A client is admitted with infective endocarditis (IE). Which finding would alert the nurse to a complication of this condition?
Correct Answer: B
Rationale: Large, soft, rapidly developing vegetations attach to the heart valves. They have a tendency to break off, causing emboli and leaving ulcerations on the valve leaflets. These emboli produce findings of cardiac murmur, fever, anorexia, malaise and neurologic sequelae of emboli.
Question 5 of 5
The nurse is providing care to a 9-year-old client who is awaiting surgery. Which intervention is developmentally appropriate for this client's plan of care?
Correct Answer: A
Rationale: Using simple diagrams with correct terminology (
A) is age-appropriate for a 9-year-old, aiding understanding. Future benefits (
B) are abstract, scar concerns (
C) are secondary, and last-minute education (
D) increases anxiety.