NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
The practical nurse on the mental health unit is planning care with the registered nurse. Which client should be seen first?
Correct Answer: B
Rationale: Suicidal ideation with a plan (
B) poses an immediate safety risk, requiring urgent assessment despite one-to-one observation. Bulimia (
A) and schizophrenia (
D) behaviors need monitoring but are less acute. OCD refusal (
C) is a lower priority, as it does not indicate immediate harm.
Extract:
Laboratory results
Hemoglobin
Male: 14-18 g/dL
(140-180 g/L)
Female:
12-16 g/dL
(120-160 g/L)
5 g/dL
Question 2 of 5
The nurse is assessing a client who has a hemoglobin level of 5 g/dL (50 g/L). Which of the following findings would the nurse expect to obtain? Select all that apply.
Correct Answer: B,C,E
Rationale: Severe anemia (5 g/dL) reduces oxygen-carrying capacity, causing dyspnea (
B), pallor (
C), and tachycardia (E) as compensatory mechanisms. Crackles (
A) suggest fluid overload, and respiratory depression (
D) is unrelated.
Extract:
Question 3 of 5
A client is being discharged with plans to return home alone. The client cannot get up from a chair without help and is very unsteady when standing, even with a walker. The nurse expresses concern, but the primary health care provider is adamant that the client be discharged today. Which team member would be most appropriate to assist the nurse in advocating for this client?
Correct Answer: D
Rationale: The client’s mobility limitations and unsafe discharge plan require advocacy for alternative arrangements, such as home care or facility placement. A social worker (
D) specializes in coordinating resources, assessing home safety, and advocating for patient needs, making them the best team member to assist. A psychologist (
A) focuses on mental health, while occupational (
B) and physical therapists (
C) address functional skills but not discharge planning.
Question 4 of 5
In assessing a post partum client, the nurse palpates a firm fundus and observes a constant trickle of bright red blood from the vagina. What is the most likely cause of these findings?
Correct Answer: B
Rationale: Genital lacerations. Continuous bleeding in the absence of a boggy fundus indicates undetected genital tract lacerations.
Question 5 of 5
During the charge nurse’s morning rounds, a client says, 'I hope you will take better care of me than the nurse I had last night.' What should be the charge nurse’s initial response?
Correct Answer: B
Rationale: Asking for details (
B) allows the charge nurse to understand the client’s concerns and address specific issues. Apologizing (
A) assumes fault, excusing the nurse (
C) dismisses the concern, and reassurance (
D) lacks follow-through without investigation.