NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is talking with a client with major depressive disorder who has been taking paroxetine for the past 3 weeks. Which of the following statements by the client would require immediate follow-up?
Correct Answer: B
Rationale: Persistent depression with increased energy (
B) may indicate rising suicide risk, requiring immediate follow-up. Appetite (
A), sleep (
C), and libido (
D) changes are common side effects.
Question 2 of 5
The practical nurse is collaborating with the registered nurse to form a care plan for a client with a possible diagnosis of Guillain-Barré syndrome. The nurse should give priority to which client assessment?
Correct Answer: D
Rationale: Respiratory assessment (
D) is the priority in Guillain-Barré syndrome due to the risk of respiratory muscle paralysis. Reflexes (
B) are relevant but less urgent, and blood pressure (
A) and pupils (
C) are not primary concerns.
Question 3 of 5
The nurse is collecting data from a 10-year-old client during a routine physical examination. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, C, D
Rationale: Using anatomical terminology (
A) promotes understanding. Explaining equipment and procedures (
C) reduces anxiety. Offering a gown and allowing underwear (
D) respects privacy. Adult examination sequences (
B) may not suit pediatric needs, and parents rating pain (E) may not accurately reflect the child's experience.
Question 4 of 5
Which therapeutic communication skill used by the nurse is most likely to encourage a depressed client to vent feelings?
Correct Answer: D
Rationale: Active listening. This skill, along with silence, encourages the client to verbalize feelings.
Question 5 of 5
The nurse is preparing to administer a sodium polystyrene sulfonate retention enema. Which explanation by the nurse best describes the purpose of this type of enema?
Correct Answer: C
Rationale: Sodium polystyrene sulfonate (
C) removes excess potassium via the intestines, used in hyperkalemia. Other options describe unrelated procedures.