NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
An adult is admitted to the psychiatric unit with a severe phobia. She develops severe anxiety when she crosses any type of bridge. She can no longer go to work or go shopping at the mall. The day after admission, she develops a panic attack and refuses to go to occupational therapy because she has to cross a bridge-like structure to go from one area of the hospital to another. How should the nurse respond to this situation?
Correct Answer: C
Rationale: Using an alternate route avoids triggering the phobia, allowing participation in therapy while respecting her current anxiety level.
Question 2 of 5
A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?
Correct Answer: A
Rationale: Positive urine glucose and acetone suggest gestational diabetes mellitus (GDM), which can lead to placental insufficiency and fetal complications, requiring immediate evaluation. Pedal edema (
B), increased vaginal discharge (
C), and diaphragmatic pressure (
D) are common in late pregnancy and not typically concerning unless accompanied by other symptoms.
Question 3 of 5
A client with which of the following conditions is at risk for developing a high ammonia level?
Correct Answer: D
Rationale: Cirrhosis impairs the liver's ability to metabolize ammonia, leading to elevated levels and risk of hepatic encephalopathy. The other conditions do not directly affect ammonia levels. Reduction of Risk Potential
Question 4 of 5
The nurse is preparing to perform a physical examination on an 8 month-old who is sitting contentedly on his mother's lap. Which of the following should the nurse do first?
Correct Answer: C
Rationale: Auscultate heart and lungs. Performing this during a quiet moment ensures clear sound detection.
Question 5 of 5
The parent of a young adult recently diagnosed as being HIV positive calls the clinic in a panic saying, 'My son just cut himself shaving, and there is blood all over the bathroom. What should I do?' How should the nurse respond?
Correct Answer: C
Rationale: Household bleach effectively disinfects HIV in blood spills, and gloves protect the parent, following standard precautions.