NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An adult client with newly diagnosed cancer says, 'I'm really afraid of dying. Who's going to take care of my children?' What is the best initial response for the nurse to make?
Correct Answer: C
Rationale: An empathetic response acknowledging the client's fear opens communication, validating emotions without dismissing concerns or making assumptions.
Question 2 of 5
An adult man is being treated for depression and has been taking amitriptyline (Elavil) for three days. His wife says to the nurse, 'I don't think the medicine is doing anything for him. He is still depressed.' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Amitriptyline requires 2-3 weeks to reach therapeutic levels, so no significant improvement is expected after only three days.
Question 3 of 5
The HCP prescribed mifepristone for the 35-year-old female to treat a leiomyoma. Before the client begins the medication, which information is most important for the nurse to obtain?
Correct Answer: C
Rationale: A. Mifepristone does not cause changes in BP. B. Mifepristone does not cause changes in liver enzymes. C. The pregnancy test results should be known because mifepristone is also used in conjunction with other medications for termination of early intrauterine pregnancy. D. Although weight can influence the dose, this information is not the most important. Mifepristone does not cause changes in weight.
Question 4 of 5
A 65-year-old client is seen in an urgent care center for a sprained ankle. The client also tells the nurse, 'I don't know what the problem is. I'm tired all the time. I guess it's just a sign I'm getting old.' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Persistent fatigue is not a normal part of aging and may indicate underlying medical issues, warranting a physical exam to identify the cause.
Question 5 of 5
After the nurse has had several brief conversations with a newly admitted client, the client suddenly says, 'I'm afraid to ride in an elevator; I know it's silly, but I can't help it.' Which of these responses by the nurse would be the best example of acknowledgment?
Correct Answer: B
Rationale: Acknowledging that the fear feels unreasonable to the client validates her self-awareness without judgment, fostering trust.