NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse in a retirement home has noticed that Mr. A. and Ms. C. have been holding hands frequently. One day, the nurse enters Mr. A.'s room and finds Mr. A. and Ms. C. having sexual intercourse. Both residents are alert and oriented. What is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Both residents are alert and oriented, indicating consensual activity; leaving and closing the door respects their privacy and autonomy.
Question 2 of 5
A woman is being treated for severe depression. During the acute phase of her illness, which of these measures should have priority in her care?
Correct Answer: D
Rationale: Physical care, such as ensuring nutrition and hygiene, is the priority in severe depression to maintain health when the client cannot.
Question 3 of 5
A man who is severely depressed following the death of his wife sits in the dayroom for hours at a time, not speaking to anyone and showing no interest in unit activities. He does not answer when spoken to. Which action should the nurse take to help him at this time?
Correct Answer: D
Rationale: Brief, non-demanding interactions show presence and support, respecting his depression without forcing engagement.
Question 4 of 5
The adolescent, who has been sick for several days, is being seen in a clinic with a tentative diagnosis of mononucleosis. Which findings should the nurse expect when assessing the client?
Correct Answer: D
Rationale: Mononucleosis typically presents with extreme fatigue, enlarged lymph nodes, and sore throat, often with fever and splenomegaly.
Question 5 of 5
The treatment goal for a client with severe anxiety will have been achieved when the client demonstrates which of these behaviors?
Correct Answer: B
Rationale: The goal for severe anxiety is to channel it into constructive actions, such as problem-solving, rather than eliminating it entirely or only recognizing its source.