NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is providing care to a 9-year-old client who is awaiting surgery. Which intervention is developmentally appropriate for this client's plan of care?
Correct Answer: A
Rationale: Using simple diagrams with correct terminology (
A) is age-appropriate for a 9-year-old, aiding understanding. Future benefits (
B) are abstract, scar concerns (
C) are secondary, and last-minute education (
D) increases anxiety.
Question 2 of 5
The nurse is caring for a client who has bleeding esophageal varices. What should the nurse expect might develop in this client? Select all that apply.
Correct Answer: A,B
Rationale: Bleeding varices cause blood loss, leading to tarry stools (melena) from digested blood and confusion from hepatic encephalopathy due to liver dysfunction. Abdominal pain, hypertension, tremors, or hallucinations are less directly related.
Question 3 of 5
A nurse is caring for a client who is meeting with the palliative care team. After the meeting, the client's family asks for clarification about palliative care. Which statements about palliative care are accurate? Select all that apply.
Correct Answer: A,C,E
Rationale: Palliative care aims to improve quality of life and can be provided at any stage of illness (
A). It involves a multidisciplinary team to address various needs (
C). It also focuses on symptom relief for chronic illnesses (E). Palliative care is not limited to terminal diagnoses (B is incorrect) and is distinct from hospice care, which is specifically for end-of-life (D is incorrect).
Question 4 of 5
An RN who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN?
Correct Answer: C
Rationale: Nurses who are floated to other units should be assigned to a client who has minimal anticipated immediate complications of their problem. The client in option C exhibits opioid toxicity with the pinpoint pupils and has the least risk of complications occurring in the near future.
Question 5 of 5
The nurse is caring for a client who has acute pericarditis. Which of the following findings would be a priority to follow up?
Correct Answer: B
Rationale: Muffled heart tones and jugular venous distension (
B) suggest pericardial effusion or tamponade, a life-threatening complication requiring urgent follow-up. Chest pain (
A) and friction rub (
C) are expected, and mild fever (
D) is less urgent.