NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The nurse caring for a client with anemia recognizes which clinical manifestation as one specific for a hemolytic type of anemia?
Correct Answer: A
Rationale: The destruction of red blood cells causes the release of bilirubin, leading to the yellow hue of the skin. Answers C and D occur with anemia but are not specific to hemolytic. Answer B does not relate.
Question 2 of 5
The nurse is teaching a smoking cessation class and notices there are 2 pregnant women in the group. Which information is a priority for these women?
Correct Answer: B
Rationale: There is a relationship between smoking and low birth weight. Smoking reduces placental blood flow, contributing to fetal hypoxia and low birth weight.
Question 3 of 5
Prior to discharge of a child with a ventriculoperitoneal (VP) shunt, the nurse reinforces teaching to the caregiver about when to contact the health care provider. The caregiver shows understanding of the instructions by contacting the health care provider about which symptom?
Correct Answer: C
Rationale: Persistent vomiting (
C) suggests shunt malfunction or increased intracranial pressure, requiring immediate reporting. Normal temperature (
A), memory lapses (
B), and palpable shunt (
D) are not concerning.
Question 4 of 5
The nurse is discussing dementia with the families of older adults. All of the following behaviors are reported. Which behavior is most suggestive of dementia?
Correct Answer: B
Rationale: Getting lost in a familiar area indicates significant spatial disorientation, a hallmark of dementia. Forgetting details, misplacing items, or color oversight are less specific.
Question 5 of 5
Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?
Correct Answer: B
Rationale: This response encourages the client to get in touch with their feelings and utilize problem-solving steps to reduce guilt feelings.