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NCLEX PN Practice Test Questions

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Question 1 of 5

The nurse is caring for four antepartum clients. Which client should the nurse see first?

Correct Answer: C

Rationale: A suspected ectopic pregnancy is a medical emergency due to the risk of rupture and internal bleeding, which can be life-threatening. Abdominal and shoulder pain are hallmark symptoms, indicating possible referred pain from diaphragmatic irritation. This client requires immediate assessment and intervention, prioritizing over hyperemesis gravidarum (which, while serious, is less immediately life-threatening), molar pregnancy (which needs monitoring but is not an acute emergency), and threatened miscarriage (which requires evaluation but is less urgent without active bleeding or pain).

Question 2 of 5

Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?

Correct Answer: B

Rationale: This response encourages the client to get in touch with their feelings and utilize problem-solving steps to reduce guilt feelings.

Question 3 of 5

The nurse is caring for a 9-year-old client with cystic fibrosis who is scheduled to receive pancrelipase at 1200. The client states, 'I am not hungry now. I want to eat lunch in a few hours.' Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Pancrelipase aids digestion in cystic fibrosis and should be taken with food. A small snack (
C) ensures enzyme effectiveness while respecting the child’s appetite. Omitting (
A) or halving (
B) the dose risks malabsorption, and holding (
D) delays nutrition.

Question 4 of 5

The nurse is observing a client with an obsessive-compulsive disorder in an inpatient setting. Which behavior is consistent with this diagnosis?

Correct Answer: A

Rationale: Behaviors that are repeated are symptomatic of obsessive-compulsive disorders. These behaviors, performed to reduce feelings of anxiety, often interfere with normal function and employment.

Question 5 of 5

The practical nurse on the mental health unit is planning care with the registered nurse. Which client should be seen first?

Correct Answer: B

Rationale: Suicidal ideation with a plan (
B) poses an immediate safety risk, requiring urgent assessment despite one-to-one observation. Bulimia (
A) and schizophrenia (
D) behaviors need monitoring but are less acute. OCD refusal (
C) is a lower priority, as it does not indicate immediate harm.

Similar Questions

The nurse is drawing blood from a client's peripheral vein for laboratory specimens. Which of the following are correct nursing actions? Select all that apply.
A male client is admitted for evaluation of a sudden hearing loss. No physical cause can be found for his sudden deafness; however, a friend reveals that the client's fiancée recently canceled their engagement, saying that she needed more time to think about the marriage. The client's deafness is an example of:
The nurse is talking with a client with stable angina who has a prescription for sublingual nitroglycerin. Which of the following statements by the client would require follow-up?
The nurse is talking with a client with macular degeneration. Which of the following statements by the client would be consistent with the condition?
The nurse is assessing a client who has a hemoglobin level of 5 g/dL (50 g/L). Which of the following findings would the nurse expect to obtain? Select all that apply.

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