NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is assessing a client's emotional state and coping strategies. Evidence of which behavior is of most concern to the nurse?
Correct Answer: D
Rationale: Self-mutilation indicates severe emotional distress and risk of harm, the most concerning behavior requiring immediate intervention.
Question 2 of 5
The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: B,C,D
Rationale: Seizure precautions (
B), neurological checks (
C), and strict I&O (
D) manage SIADH complications like hyponatremia. Vasopressin (
A) worsens SIADH, and normal saline (E) may not correct hyponatremia.
Question 3 of 5
The nurse is assisting in planning care for a client experiencing an acute attack of Ménière disease. Which action is a high priority to include in the plan of care?
Correct Answer: C
Rationale: A quiet environment (
C) reduces sensory overload, a priority in Ménière disease attacks. Fall precautions (
A), emesis basin (
B), and IV fluids (
D) are supportive but less critical.
Question 4 of 5
The nurse is caring for a 10-year-old client with sickle cell disease who is experiencing an episode of acute pain. Which of the following diversional activities would be appropriate for the nurse to offer the client?
Correct Answer: B
Rationale: Reading a book (
B) is a calm, stationary activity suitable for pain management. Puzzles (
A) may require movement, walking (
C) could worsen pain, and puppets (
D) may be too childish for a 10-year-old.
Question 5 of 5
The nurse is changing a dressing. Which event indicates a break in sterile technique?
Correct Answer: B
Rationale: Turning around risks contaminating the sterile field by passing non-sterile areas over it. Opening flaps away, using the table, or pouring saline maintain sterility.