NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse in a long-term care facility is caring for a client with major depressive disorder who is reporting difficulty sleeping. The client gets up during the night, paces the hallway, wrings the hands, and appears teary. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, D, E, F
Rationale: Natural sunlight exposure (
A) helps regulate circadian rhythms and improve mood. Warm milk (
D) contains tryptophan, which promotes sleep. A quiet environment (E) and soft music (F) reduce stimulation and promote relaxation. Naps (
B) may disrupt nighttime sleep, and exercise before bedtime (
C) can be stimulating.
Question 2 of 5
The nurse is providing teaching to the parents of a 1-year-old who was just prescribed a 10-day course of amoxicillin for acute otitis media. Which of the following instructions are appropriate for the nurse to include in the teaching? Select all that apply.
Correct Answer: C, E
Rationale: Returning if no improvement (
C) and hearing screening (E) are appropriate. Decongestants (
A) are not recommended, loose stools (
B) do not warrant stopping, and stopping early (
D) risks resistance.
Question 3 of 5
A postoperative client is having difficulty voiding. Palpation of the bladder indicates that the bladder is full. What should the nurse do initially?
Correct Answer: B
Rationale: Pouring water over the perineum stimulates the micturition reflex, aiding voiding non-invasively. Catheterization, breathing, or pain medication are secondary.
Question 4 of 5
The nurse administers the prescribed dose of hydromorphone 2 mg to a client who had knee replacement surgery 2 days ago. Which assessment finding is most concerning to the nurse?
Correct Answer: A
Rationale: Falling asleep mid-conversation (
A) may indicate opioid-induced respiratory depression, a life-threatening concern. Constipation (
B), emesis (
C), and pruritus (
D) are less urgent side effects.
Question 5 of 5
A 70 year-old post-operative client has elevated serum BUN, HCT, Cl, and Na+. Creatinine and K+ are within normal limits. The nurse should perform additional assessments to confirm that an actual problem is:
Correct Answer: D
Rationale: Fluid volume deficit. In fluid volume deficit, serum BUN, Na+, and hematocrit may be elevated secondary to hemoconcentration.