NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A spouse brings a client with a history of previous suicide attempts to the emergency department due to erratic behavior and expressions of hopelessness. When the triage nurse asks if the client is having suicidal thoughts, the client shrugs their shoulders. What action should the triage nurse take?
Correct Answer: C
Rationale: Given the history of suicide attempts and current hopelessness, a noncommittal response like shrugging suggests a high suicide risk. One-to-one observation ensures safety. Documenting no suicidality is inaccurate, frequent observation is insufficient, and returning to the waiting room is unsafe.
Question 2 of 5
The 24-hour day-night cycle is known as:
Correct Answer: A
Rationale: The circadian rhythm governs the 24-hour day-night cycle, regulating sleep and other physiological processes. The other terms refer to different biological rhythms. Basic Care and Comfort
Question 3 of 5
In an emergency situation, the nurse determines whether a client has an airway obstruction. Which of the following does the nurse assess?
Correct Answer: A
Rationale: Inability to speak is a primary indicator of airway obstruction, as it suggests blocked airflow. Hearing, oxygen saturation, and breath sounds are secondary or less immediate. Safety and Infection Control
Question 4 of 5
A client begins a regimen of chemotherapy. Her platelet counts falls to 98,000. Which action is least likely to increase the risk of hemorrhage?
Correct Answer: C
Rationale: Reverse isolation protects against infection but does not affect hemorrhage risk. The other actions directly reduce bleeding risk by detecting or preventing trauma to tissues. Physiological Adaptation
Question 5 of 5
A 26-year-old woman with a history of heart disease is admitted in labor. She has been on bed rest for four months to prevent dyspnea. During labor, this client is likely to receive which of the following?
Correct Answer: D
Rationale: Epidural anesthesia minimizes cardiac stress and pain in labor for a patient with heart disease, safer than general anesthesia or Valsalva pushing.