NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An adult who is undergoing diagnostic tests to diagnose a possible malignancy angrily says to the nurse, 'You don't know anything. I want someone competent caring for me.' What is the best initial nursing response?
Correct Answer: B
Rationale: Acknowledging the client's distress validates their feelings, de-escalating anger and fostering therapeutic communication.
Extract:
A nurse is going to give health teachings to a group of 11 to 15 years old clients with Diabetes Mellitus.
Question 2 of 5
Considering the group's developmental needs, the type of learning activity planned by the nurse would be:
Correct Answer: D
Rationale: Peer-support activities align with adolescents' developmental need for social connection and shared experiences.
Extract:
Question 3 of 5
The nurse must irrigate a gaping abdominal incision with sterile normal saline, using a piston syringe. How should the nurse proceed?
Correct Answer: A
Rationale:
To wash away tissue debris and drainage effectively, the nurse should irrigate the wound until the solution becomes clear or all of the solution has been used. After the irrigation, the nurse should dry the area around the wound; moistening it promotes microorganism growth and skin irritation. When the area is dry, the nurse should apply a sterile dressing, rather than a wet-to-dry dressing. The nurse always should instill the irrigating solution gently; rapid or forceful instillation can damage tissues.
Extract:
Following a CVA, a patient remains unresponsive to sensory stimulation.
Question 4 of 5
The lobe of the cerebral cortex that registers general sensations such as heat, cold, pain, and touch is the:
Correct Answer: B
Rationale: The parietal lobe processes sensory information like touch and pain.
Extract:
Question 5 of 5
A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is experiencing anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. What would the nurse's best response to this request?
Correct Answer: C
Rationale: Children with AGN who have edema, hypertension oliguria and azotemia may have dietary restrictions limiting sodium, fluids, protein and potassium. Giving the child a short explanation and offering to talk about an alternative is appropriate for this age.