NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching to the parent of a child recently diagnosed with attention deficit hyperactivity disorder, combined type. Which statement by the parent requires intervention?
Correct Answer: C
Rationale: ADHD often persists into adulthood, so stating it will be outgrown by age 20 (
C) is incorrect and requires intervention. Limiting choices (
A), advocating for an IEP (
B), and focusing during conversations (
D) are appropriate.
Question 2 of 5
An adult comes to the physician's office with a history of headache yesterday and today and pain in the back. The nurse observes a horizontal band of pustular rash on the back extending from the spine to midline in the front. The client describes it as very painful. What would the nurse expect to be prescribed for this client?
Correct Answer: A
Rationale: The painful, unilateral, dermatomal pustular rash suggests herpes zoster (shingles), treated with antivirals like acyclovir.
Question 3 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 4 of 5
A client with chronic heart failure calls the clinic to report a weight gain of 3 lb (1.4 kg) over the last 2 days. Which information is most important for the nurse to ask this client?
Correct Answer: D
Rationale: Symptoms like shortness of breath, coughing, or edema (
D) indicate fluid overload, a critical concern in heart failure. Diet (
A), fluid intake (
B), and medications (
C) are relevant but secondary.
Question 5 of 5
The nurse is observing a staff member talking with the parent of a pediatric client. The parent is crying and states, 'I do not know what to do about this situation with my child.' The staff member responds, 'I am sure you will do the right thing.' The nurse should recognize that the staff member's response
Correct Answer: C
Rationale: The response (
C) dismisses the parent's distress and provides false reassurance, lacking empathy. It does not express interest (
A), respect privacy (
B), or convey empathy (
D).