NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
The nurse is caring for a hospitalized 6-month-old client. Which of the following interventions should the nurse implement to provide developmentally appropriate care for this client? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Following the home routine (
A), providing familiar toys (
B), ensuring a quiet sleep environment (
D), and offering a parent's shirt (E) promote comfort and security for a 6-month-old.
Question 2 of 5
A victim of domestic violence tells the batterer she needs a little time away. How would the nurse expect that the batterer might respond?
Correct Answer: B
Rationale: With fear of rejection causing increased rage toward the victim. Fear of abandonment often escalates abusive behavior.
Question 3 of 5
The nurse enters a client's room and finds that the client and spouse are crying. The spouse states that the health care provider just diagnosed the client with Alzheimer disease. What is the best response by the nurse?
Correct Answer: C
Rationale: Acknowledging the emotional impact of the diagnosis validates the client's and spouse's feelings, fostering therapeutic communication and trust.
Question 4 of 5
Four clients were involved in a major highway motor vehicle accident. Which client requires priority care?
Correct Answer: A
Rationale: A deviated trachea and hypotension suggest tension pneumothorax, a life-threatening condition requiring immediate decompression to restore breathing.
Question 5 of 5
The nurse is teaching a group of adults about modifiable cardiac risk factors. Which of the following should the nurse focus on first?
Correct Answer: D
Rationale: Smoking cessation. Stopping smoking is the priority for clients at risk for cardiac disease, because of its effects of reducing oxygenation and constricting blood vessels.