NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 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 2 of 5
The mother is concerned that her 6-year-old child is eating dirt every day. The nurse is most concerned about which of the following?
Correct Answer: B
Rationale: Pica, such as eating dirt, raises concern for lead poisoning, especially in children, as contaminated soil may contain lead, posing neurological risks.
Question 3 of 5
The health care provider (HCP) explains the risks and benefits of a procedure to the client through an interpreter. The HCP leaves after asking the nurse to witness the client's signature on the consent. The interpreter and client now have a lengthy discussion in the foreign language. The nurse should take which action at this time?
Correct Answer: A
Rationale: Asking the interpreter to explain the discussion (
A) ensures the nurse understands any concerns or clarifications, verifying informed consent. Gestures (
B) are unreliable, the interpreter witnessing (
C) is inappropriate, and noting interpreter use (
D) is insufficient without understanding the discussion.
Question 4 of 5
The practical nurse is performing a physical examination with the registered nurse on a 2-year-old with cold symptoms and a fever at home of 101.7 F (38.7 C). Which interventions will enhance the child's cooperation during the examination? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Playing with the stethoscope (
A), starting in the parent's lap (
B), friendly interaction (
C), and using a puppet (
D) reduce anxiety and enhance cooperation. Vital signs (E) may distress the child if done first.
Question 5 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.