NCLEX-PN
PN NCLEX Practice Exam Questions
Extract:
Question 1 of 5
Which of the following herbal supplements pose an increased risk for bleeding in surgical clients and should be discontinued prior to major surgery? Select all that apply.
Correct Answer: B,C,D
Rationale: Garlic (
B), ginger (
C), and ginkgo biloba (
D) have antiplatelet effects, increasing bleeding risk. Black cohosh (
A) and hawthorn (E) do not significantly affect bleeding.
Question 2 of 5
Which nursing diagnosis is most appropriate for a client who has Cushing's syndrome?
Correct Answer: A
Rationale: Cushing's syndrome causes cortisol excess, leading to osteoporosis and increased fracture risk, making 'Risk for injury related to osteoporosis' the most appropriate diagnosis.
Question 3 of 5
A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:
Correct Answer: A
Rationale: Clients with severe depression and suicidal ideation often struggle to express feelings of low self-worth , which contributes to their emotional withdrawal. Discussing remorse or dependence may be present but is less central. Expressing anger is more typical in other conditions like bipolar disorder.
Question 4 of 5
The nurse is preparing to irrigate the wound of a 7-year-old client who sustained a laceration while on a playground. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A,D,E
Rationale: Analgesics (
A), checking vaccinations (
D) for tetanus risk, and continuous flushing (E) are appropriate. Cleaning from contaminated to clean (
B) is incorrect, and a 27-gauge needle (
C) is too small for irrigation.
Question 5 of 5
A 62-year-old client admitted to the telemetry unit after an acute myocardial infarction 3 days ago reports that the left calf is very tender and warm to the touch. Which nursing intervention is the priority?
Correct Answer: D
Rationale: Tenderness and warmth suggest deep vein thrombosis, so a neurovascular check (
D) is the priority to assess for complications. History (
A), ECG (
B), and vitals (
C) are secondary.