NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The home health aide reports to the practical nurse that the client has been trying to give away possessions. When the nurse asks the client about this behavior, the client says, 'With my spouse dead, there's no reason for me to go on.' What is the best response by the nurse?
Correct Answer: A
Rationale: The client's statement and behavior suggest suicidal ideation. Directly asking about thoughts of self-harm (
A) is the most appropriate response to assess risk and ensure safety. Options B, C, and D are less direct and may delay critical intervention.
Question 2 of 5
A very tall, heavy-set man is admitted. The nurse is taking vital signs. Which statement is correct concerning taking the blood pressure?
Correct Answer: C
Rationale: An extra-large cuff ensures accurate blood pressure measurement in large individuals; a standard cuff falsely elevates readings. Adjusting readings or lying down is unnecessary.
Question 3 of 5
A recovering alcoholic asked the nurse, 'Will it be ok for me to just drink at special family gatherings?' Which initial response by the nurse would be best?
Correct Answer: D
Rationale: A recovering person cannot return to drinking without starting the addiction process over.
Total abstinence is required to maintain recovery.
Question 4 of 5
A 13-month-old child is admitted to the pediatric unit with diarrhea and vomiting. The mother tells the nurse that she is worried because her son does not yet walk. She says her other children walked at eight and nine months and asks what could be wrong with this child. How should the nurse respond?
Correct Answer: A
Rationale: Walking typically occurs between 9-18 months; at 13 months, not walking is within normal variation, reassuring the mother without dismissing concerns.
Question 5 of 5
A client continually repeats phrases that others have just said. The nurse recognizes this behavior as
Correct Answer: C
Rationale: Echolalia is repeating words or phrases heard before, often seen in certain psychiatric or developmental conditions.