NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The LPN/LVN is providing home care to an elderly widow who has senile dementia. The woman tells the nurse that her daughter hits her and tells her to shut up. The nurse notes one ecchymotic area on the client's right forearm. The daughter seems attentive to the woman when the nurse is present. What action should the nurse take?
Correct Answer: D
Rationale: Reporting suspected abuse to the supervisor initiates investigation and protection, the appropriate action for potential elder abuse.
Question 2 of 5
The nurse is caring for a client receiving chemotherapy. The client is prescribed filgrastim to improve the function of the immune system. Which finding does the nurse anticipate in response to the medication?
Correct Answer: C
Rationale: Filgrastim stimulates neutrophil production, so an increase in neutrophil count (
C) is expected. It does not affect uric acid (
A), hemoglobin (
B), or platelets (
D).
Question 3 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.
Question 4 of 5
The nurse is instructing the client with a fractured femur in crutch walking. When instructing the client in the best method of manipulating stairs, the nurse should tell the client to:
Correct Answer: B
Rationale: For ascending stairs, lead with the unaffected leg to bear weight, followed by crutches and affected leg. This ensures stability and safety.
Question 5 of 5
The nurse is discussing positioning with the family of a client who is at home following a total hip replacement a week ago. Which should be included in the discussion?
Correct Answer: C
Rationale: A pillow between the legs maintains hip abduction, preventing dislocation post-hip replacement, a critical positioning instruction.