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
The nurse is caring for a client with polycythemia vera. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, C
Rationale: Increased fluids (
A), phlebotomy (
B), and aspirin (
C) manage polycythemia vera by reducing blood viscosity and clotting risk. Leg elevation (
D) is irrelevant, and iron supplementation (E) worsens the condition.
Question 3 of 5
The nurse is collecting data from a 10-year-old client during a routine physical examination. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, C, D
Rationale: Using anatomical terminology (
A) promotes understanding. Explaining equipment and procedures (
C) reduces anxiety. Offering a gown and allowing underwear (
D) respects privacy. Adult examination sequences (
B) may not suit pediatric needs, and parents rating pain (E) may not accurately reflect the child's experience.
Question 4 of 5
The nurse is talking with a client with major depressive disorder who has been taking paroxetine for the past 3 weeks. Which of the following statements by the client would require immediate follow-up?
Correct Answer: B
Rationale: Persistent depression with increased energy (
B) may indicate rising suicide risk, requiring immediate follow-up. Appetite (
A), sleep (
C), and libido (
D) changes are common side effects.
Question 5 of 5
The nurse working on a pediatric oncology unit recognizes which as a personal coping strategy for remaining effective when caring for dying children?
Correct Answer: D
Rationale: Increasing exercise (
D) is a healthy coping strategy to manage stress. Attending memorials (
A), avoiding grief expression (
B), or ending contact (
C) may not promote long-term emotional resilience.