NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is talking with the parents of a 4-year-old client. The parents are concerned because the client was previously toilet trained but has started wetting the bed again while hospitalized. Which of the following responses would be most appropriate for the nurse to make?
Correct Answer: D
Rationale: Regression, such as bedwetting, is common in hospitalized children due to stress (
D). Reinforcing toileting behaviors (
A) may help but doesn't address the underlying cause. Fluid restriction (
B) is not appropriate without medical indication. Assuming misbehavior (
C) dismisses the emotional impact of hospitalization.
Question 2 of 5
The nurse is caring for a client with schizophrenia. The client appears anxious and states, 'The voices are bad today; they sound so angry with me.' Which of the following responses would be most appropriate for the nurse to make?
Correct Answer: D
Rationale: Acknowledging the client's fear and offering medication (
D) is therapeutic and addresses anxiety. Dismissing voices (A,
B) or probing content (
C) may increase distress or reinforce delusions.
Question 3 of 5
An adult client was admitted for congestive heart failure today. An IV is running. The nurse enters the room and notes that the client is having increased difficulty breathing. Before calling the physician, what action should the nurse take?
Correct Answer: D
Rationale: Raising the head of the bed improves breathing in congestive heart failure by reducing pulmonary congestion. Increasing IV rate, supine positioning, or questioning delays intervention.
Question 4 of 5
The nurse prepares a 7-year-old client for an influenza injection. The nurse explains that the client will receive 'medicine under the skin,' and the client is visibly anxious. Which nursing intervention is appropriate?
Correct Answer: D
Rationale: Hiding the needle (
D) reduces anxiety. Counting (
A) may not distract enough, holding arms (
B) can increase fear, and denying pain (
C) is dishonest.
Question 5 of 5
The nurse is caring for a client suspected of having hepatitis A. Which item in the client's history is most likely related to the development of hepatitis A?
Correct Answer: B
Rationale: Hepatitis A is transmitted via the fecal-oral route, often in areas with poor sanitation like parts of India. Blood donation, transfusions, or cholecystectomy are not typical risk factors.