NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse prepares to administer medications to a client. Which of the following client data are acceptable for use as client identifiers? Select all that apply.
Correct Answer: A, B, D
Rationale: Date of birth (
A), first and last name (
B), and medical record number (
D) are reliable identifiers. Health care provider (
C) and room number (E) are not specific to the client.
Question 2 of 5
An adult is admitted to the emergency department following a fall. A piece of bone is protruding through the skin of the left thigh. In addition to assessing vital signs, what information is most essential to obtain from the client at this time?
Correct Answer: B
Rationale: An open fracture (bone protruding) risks tetanus infection; knowing the last tetanus shot date is critical to determine prophylaxis need. Fall history, environment, or surgeries are secondary.
Question 3 of 5
The nurse in a long-term care facility is caring for a client with major depressive disorder who is reporting difficulty sleeping. The client gets up during the night, paces the hallway, wrings the hands, and appears teary. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, D, E, F
Rationale: Natural sunlight exposure (
A) helps regulate circadian rhythms and improve mood. Warm milk (
D) contains tryptophan, which promotes sleep. A quiet environment (E) and soft music (F) reduce stimulation and promote relaxation. Naps (
B) may disrupt nighttime sleep, and exercise before bedtime (
C) can be stimulating.
Question 4 of 5
Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?
Correct Answer: B
Rationale: My child doesn't like many fruits and vegetables, but she really loves her milk. Excessive milk intake can displace iron-rich foods, leading to iron deficiency anemia.
Question 5 of 5
The nurse is caring for a client with hyperosmolar hyperglycemic state (HHS). The nurse should recognize which characteristic is most consistent with HHS?
Correct Answer: B
Rationale: Altered consciousness (
B) is a hallmark of HHS due to severe hyperglycemia and dehydration. Abdominal pain (
A) and Kussmaul respirations (
D) are more typical of DKA, and HHS is associated with type 2 diabetes (
C).