NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a surgical excision and biopsy of a tumor. The biopsy results show that the tumor is malignant, but the client has not yet been informed by the health care provider. The client asks the nurse, 'Am I going to die?' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: A
Rationale: Exploring the client's feelings is supportive and appropriate, as the nurse should not disclose results before the provider.
Question 2 of 5
The home health nurse is caring for a 75-year-old client with dementia and suspects that the client may be experiencing elder mistreatment. Which of the following findings would be consistent with elder mistreatment? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Pressure injuries, significant weight loss, broken eyeglasses, and expired medications suggest neglect or mistreatment. Disorientation is expected in dementia.
Question 3 of 5
The nurse is caring for a client with chronic venous insufficiency. Which of the following findings would be consistent with the condition?
Correct Answer: D
Rationale: Brown, hardened skin (lipodermatosclerosis) is characteristic of chronic venous insufficiency due to hemosiderin deposition and fibrosis.
Question 4 of 5
A client is admitted with a pressure ulcer in the sacral area. The partial thickness wound is 4 cm by 7 cm, the wound base is red and moist with no exudate and the surrounding skin is intact. Which of the following coverings is most appropriate for this wound?
Correct Answer: D
Rationale: Occlusive moist dressing. This supports healing by maintaining a moist environment for granulation tissue.
Question 5 of 5
The nurse is caring for a woman who is admitted for a hysterectomy. The woman does not speak English. No staff members speak the client's language. Which approach by the nurse would be most appropriate when communicating with the client about her care before and after the surgery?
Correct Answer: D
Rationale: The nurse should request an interpreter from social services to ensure accurate communication. Using a child to interpret is inappropriate due to medical terminology and privacy concerns. Pictures, gestures, or slow speech in English are insufficient for surgical care discussions.