NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is assisting with the admission of a client who attempted suicide after being diagnosed with end-stage kidney disease. It would be a priority for the nurse to
Correct Answer: C
Rationale: Continuous one-to-one observation (
C) is the priority to ensure safety after a suicide attempt. Room assignment (
A), exploring feelings (
B), and mental status exam (
D) are secondary.
Question 2 of 5
An adult is admitted to the emergency department following a fall. A piece of bone is protruding through the skin of the left thigh. In addition to assessing vital signs, what information is most essential to obtain from the client at this time?
Correct Answer: B
Rationale: An open fracture (bone protruding) risks tetanus infection; knowing the last tetanus shot date is critical to determine prophylaxis need. Fall history, environment, or surgeries are secondary.
Question 3 of 5
A female client seen in the health department's STD clinic is diagnosed with chlamydia. Before the client leaves the clinic, the nurse should:
Correct Answer: C
Rationale: Avoiding sexual relations prevents chlamydia spread until treatment is complete. Contact tracing is secondary, Flagyl is for trichomoniasis, and douching is harmful.
Question 4 of 5
A 45-year-old client is in a rehabilitation unit receiving long-term care for injuries sustained in a motor vehicle accident. The client's spouse used to stay home but started working to replace the client's lost income. The nurse notices that the client has become withdrawn and increasingly frustrated by small inconveniences. Which statement is the most appropriate first response by the nurse?
Correct Answer: B
Rationale: Acknowledging observed behavior (
B) opens a therapeutic conversation and validates the client's feelings. Asking about the spouse's job (
A), assuming anger (
C), or suggesting a support group (
D) may not address the client's current emotional state.
Question 5 of 5
The nurse is assisting with care of a client with blunt head injury admitted for observation, including hourly neurologic checks. At 1:00 AM, the client reports a headache; the neurologic check is normal, and the nurse administers acetaminophen prn. At 2:00 AM, the client appears to be sleeping. What action does the nurse anticipate taking?
Correct Answer: A
Rationale: Hourly neurologic checks require arousing the client to assess orientation (
A). Checking paresthesia (
B), assuming relief (
C), or only verifying respiratory rate (
D) do not meet monitoring requirements.