NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
The nurse in the outpatient clinic is talking with the spouse of a client with borderline personality disorder. The client's spouse states, 'My spouse self-inflicts lacerations on the arms to stop me from traveling for business. My spouse's actions are not a serious attempt at self-harm.' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: B
Rationale: Self-inflicted lacerations, even if not suicidal, indicate significant distress in borderline personality disorder and require professional assessment to ensure safety and address underlying issues.
Question 2 of 5
The nurse on the telemetry unit is preparing client medications in the medication room. Which of the following actions should the nurse perform to be consistent with client safety practices related to medication administration? Select all that apply.
Correct Answer: A,B,D,E
Rationale: These actions align with safe medication administration practices: verifying the 'five rights' (
A), ensuring medication integrity (
B), checking relevant lab values for anticoagulants (
D), and using gloves to prevent absorption of transdermal medications (E).
Question 3 of 5
A 9 year-old is taken to the emergency room with right lower quadrant pain and vomiting. When preparing the child for an emergency appendectomy, what must the nurse expect to be the child's greatest fear?
Correct Answer: C
Rationale: For school-age children, major fears are loss of control and separation from friends/peers.
Question 4 of 5
A nurse is preparing to administer 2 continuous IV medications concurrently via a 20-gauge IV. What is the nurse's priority action?
Correct Answer: C
Rationale: Ensuring medication compatibility prevents chemical interactions or precipitation in the IV line, which could harm the client or obstruct the catheter.
Question 5 of 5
A nursing assistant assigned to care for a client with a radium implant tells the nurse, 'I don't want to be assigned to that radioactive patient.' The best action for the nurse to take is to:
Correct Answer: D
Rationale: Asking why the nursing assistant is afraid addresses her concerns and allows education. Claiming the body shields radiation is inaccurate. Calling her uncaring is unprofessional. Lead aprons are not typically used for implants.