NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A young Spanish-speaking client is experiencing a spontaneous abortion (miscarriage). Which illustrates the best use of an interpreter to explain the situation to the client? Select all that apply.
Correct Answer: B,C,E
Rationale: A female interpreter respects cultural sensitivity, eye contact with the client fosters trust, and teaching one intervention at a time aids understanding. Friends/relatives as interpreters violate HIPAA.
Question 2 of 5
The parents of an adolescent who is being treated for a serious head injury ask why their child is being kept unconscious. The parents say, 'The doctor said he was going to give him medicine to keep him unconscious for a few days. Why? We want to talk to him. What is going on?' What should the nurse include when responding to the parents?
Correct Answer: B
Rationale: Barbiturates induce coma in severe head injuries to reduce cerebral metabolism and intracranial pressure, protecting the brain, unlike pain control or restlessness management.
Question 3 of 5
The home health nurse prepares to give benztropine to a 70-year-old client with Parkinson disease. Which client statement is most concerning and would warrant notification of the supervising registered nurse?
Correct Answer: A
Rationale: Benztropine can increase intraocular pressure, worsening glaucoma, and requires immediate follow-up.
Question 4 of 5
The nurse is caring for a client who has been in alcohol detoxification for one week. The client has slurred speech and is bumping into doorframes and walking unsteadily. What is the most appropriate initial action by the nurse?
Correct Answer: A
Rationale: Slurred speech and unsteady gait post-detox may indicate Wernicke-Korsakoff syndrome, a thiamine deficiency complication, requiring urgent assessment.
Question 5 of 5
The nurse is caring for a client who had a surgical excision and biopsy of a tumor. The biopsy results show that the tumor is malignant, but the client has not yet been informed by the health care provider. The client asks the nurse, 'Am I going to die?' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: A
Rationale: Exploring the client's feelings is supportive and appropriate, as the nurse should not disclose results before the provider.