NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is talking with a client whose spouse recently died. The client states, 'I just cannot get over my spouse's death.' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: B,D,E
Rationale: The nurse should provide empathetic, open-ended responses that encourage the client to express feelings and explore coping strategies. Suggesting a support group (
D) and asking about coping methods (E) are therapeutic. Acknowledging that grief takes time (
B) is supportive. Sharing personal experiences (
A) is unprofessional, and leaving the client alone (
C) may dismiss their emotional needs.
Question 2 of 5
The nurse has taught the parent of a pediatric client who will be receiving growth hormone replacement therapy. Which of the following statements by the parent would require follow-up?
Correct Answer: B
Rationale: Expecting equal height to peers (
B) is unrealistic, as outcomes vary. Bedtime dosing (
A), discontinuation at bone closure (
C), and x-rays (
D) are correct.
Question 3 of 5
The nurse cares for a client diagnosed with Addison disease. Which clinical finding would the nurse anticipate?
Correct Answer: D
Rationale: Addison disease causes weight loss (
D) due to cortisol deficiency. Acanthosis nigricans (
A), hirsutism (
B), and truncal obesity (
C) are associated with other endocrine disorders.
Question 4 of 5
The nurse is reinforcing discharge instructions for several clients. Which client should receive information about the need for prophylactic antibiotics prior to dental procedures?
Correct Answer: A
Rationale: Mechanical valve replacements (
A) require prophylactic antibiotics before dental procedures to prevent endocarditis. Mitral valvuloplasty (
B), heart failure (
C), and mitral valve prolapse with regurgitation (
D) have lower risks.
Question 5 of 5
A nurse prepares to care for a 4 year-old newly admitted for rhabdomyosarcoma. The nurse should alert the staff to pay more attention to the function of which area of the body?
Correct Answer: A
Rationale: the muscles. Rhabdomyosarcoma is the most common children's soft tissue sarcoma. It originates in striated (skeletal) muscles and can be found anywhere in the body. The clue is in the middle of the word -- 'myo' --which typically means muscle.