NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is talking with a client who has schizophrenia. The client states, 'I had a pet rabbit when I was growing up. Carrots are probably my favorite vegetable. Do you know that oranges grow on trees?' The nurse should recognize that the client is demonstrating
Correct Answer: C
Rationale: Tangentiality involves shifting topics without clear connections, as seen in the client’s unrelated statements about rabbits, carrots, and oranges. Associative looseness is more disorganized, concrete thinking lacks abstract thought, and neologisms involve invented words.
Question 2 of 5
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?
Correct Answer: C
Rationale:
Total parenteral nutrition (TPN) will be started. The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.
Question 3 of 5
The nurse is caring for a client with suspected tracheoesophageal fistula and esophageal atresia. The nurse is most likely to observe
Correct Answer: A
Rationale: Tracheoesophageal fistula and esophageal atresia prevent normal swallowing, leading to pooling of saliva and excessive salivation. Abdominal distension or vomiting may occur in some cases, but salivation is the most consistent sign. Diminished lung sounds are less specific.
Question 4 of 5
A client’s partner asks the nurse if ‘staring off into space’ is a seizure because the client ‘does that sometimes when having a seizure.’ Which response from the nurse is the most helpful?
Correct Answer: A
Rationale: Explaining that absence seizures can appear as staring or daydreaming educates the partner accurately and encourages reporting without alarm. Dismissing the concern, assuming it’s a seizure, or discouraging monitoring is unhelpful and potentially unsafe.
Question 5 of 5
A man is being discharged following a vasectomy. Which comment by the client indicates a need for more instruction?
Correct Answer: B
Rationale: Condom use is needed for 6-12 weeks post-vasectomy until azoospermia is confirmed, not just 2 weeks. Scrotal support, family planning, and hygiene are appropriate.