NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The family of an 88-year-old woman who was admitted with severe dehydration says to the nurse, 'Why don't you just tie down her arms so she won't try to get out her IV?' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Assessing mental status and safety needs determines if restraints are necessary, prioritizing least restrictive measures.
Question 2 of 5
The health care provider (HCP) explains the risks and benefits of a procedure to the client through an interpreter. The HCP leaves after asking the nurse to witness the client's signature on the consent. The interpreter and client now have a lengthy discussion in the foreign language. The nurse should take which action at this time?
Correct Answer: A
Rationale: Asking the interpreter to explain the discussion (
A) ensures the nurse understands any concerns or clarifications, verifying informed consent. Gestures (
B) are unreliable, the interpreter witnessing (
C) is inappropriate, and noting interpreter use (
D) is insufficient without understanding the discussion.
Question 3 of 5
A nursing advocate is one who:
Correct Answer: B
Rationale: Nurse advocates work with clients to provide information and assistance is decision-making. The decisions and care that occur from these decisions are based on the right of the client to self-determination.
Question 4 of 5
The nurse is planning an approach to decrease urinary incontinence in an elderly client. Which activity will do the most to help prevent incontinence?
Correct Answer: D
Rationale: Adequate hydration and frequent toileting (every two hours) promote bladder health and reduce incontinence. Fluid restriction or unrelated exercises are ineffective.
Question 5 of 5
The nurse is preparing to give an adult a subcutaneous injection of heparin. What should the nurse check prior to giving the medication?
Correct Answer: D
Rationale: Partial thromboplastin time (PTT) monitors heparin's anticoagulant effect, ensuring safe administration by assessing bleeding risk.