NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with schizophrenia. The client appears anxious and states, 'The voices are bad today; they sound so angry with me.' Which of the following responses would be most appropriate for the nurse to make?
Correct Answer: D
Rationale: Acknowledging the client's fear and offering medication (
D) is therapeutic and addresses anxiety. Dismissing voices (A,
B) or probing content (
C) may increase distress or reinforce delusions.
Question 2 of 5
The nurse is caring for a client receiving peritoneal dialysis. Which findings are essential for the nurse to report to the health care provider?
Correct Answer: A,B,E
Rationale: Cloudy outflow (
A), fever (
B), and tachycardia (E) suggest peritonitis, requiring immediate reporting. Oliguria (
C) is expected in renal failure, and pruritus (
D) is less urgent.
Question 3 of 5
The nurse is caring for a newborn who has a large myelomeningocele. It would be a priority for the nurse to
Correct Answer: B
Rationale: A myelomeningocele requires a sterile, moist dressing (
B) to prevent infection and drying. Checking anus tone (
A), measuring head circumference (
C), and supine positioning (
D) are secondary or contraindicated.
Question 4 of 5
Which of the following clients is at highest risk for developing Sarcordosis?
Correct Answer: B
Rationale: Sarcoidosis is most common in African-Americans, particularly women of childbearing age, making the pregnant 30-year-old African-American the highest risk.
Question 5 of 5
The nurse has a client with knee surgery who is receiving patient-controlled analgesia (PCA) of meperidine (Demerol). Which assessment finding would be a priority due to the use of this device and medication?
Correct Answer: C
Rationale: The patient is in danger of respiratory depression due to narcotic administration; therefore, this would be a priority assessment. Answer A does not relate to the PCA, so it is incorrect. Answer B is not a priority, making it wrong. Pain relief in answer D is important, but not as important as airway, so it is incorrect.