NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a terminal illness who is expected to die during the shift. The nurse notes that the client has loud, wet respirations. Which of the following medications would effectively treat this finding?
Correct Answer: B
Rationale: Sublingual atropine (
B) reduces salivary secretions, alleviating 'death rattle.' Lorazepam (
A) is for anxiety, fentanyl (
C) for pain, and ondansetron (
D) for nausea.
Question 2 of 5
The nurse is caring for a client with bulimia nervosa. It would be a priority for the nurse to
Correct Answer: C
Rationale: Monitoring for 1-2 hours after meals (
C) prevents purging, a priority in bulimia management. Time limits (
A) may increase anxiety, overnight checks (
B) are less relevant, and discussing complications (
D) is educational but not immediate.
Question 3 of 5
A parent tells the nurse that their 6 year-old child who normally enjoys school, has not been doing well since the grandmother died 2 months ago. Which statement most accurately describes thoughts on death and dying at this age?
Correct Answer: A
Rationale: Death is personified as the bogeyman or devil. Personification of death is typical of this developmental level.
Question 4 of 5
The nurse is caring for a client with increased intracranial pressure (ICP). Which statement by the unlicensed assistive personnel would require immediate intervention by the nurse?
Correct Answer: A
Rationale: Raising the head of the bed (
A) without medical guidance can alter ICP dangerously. Dimming lights (
B), moving belongings (
C), and breathing exercises (
D) are generally safe or neutral.
Question 5 of 5
The family of a 90-year-old resident in a long-term care facility asks the nurse why the client only gets a shower three times a week. What information is most important for the nurse to include when answering the question?
Correct Answer: B
Rationale: Frequent showers can exacerbate dry skin in elderly clients, increasing irritation or breakdown risk. Staffing, energy, or activity levels are less relevant to skin health.