NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Question 1 of 5
Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?
Correct Answer: D
Rationale: Acknowledging her sadness and assessing for suicidal ideation addresses her emotional state and ensures safety, given her despondency.
Question 2 of 5
A 65-year-old client is seen in an urgent care center for a sprained ankle. The client also tells the nurse, 'I don't know what the problem is. I'm tired all the time. I guess it's just a sign I'm getting old.' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Persistent fatigue is not a normal part of aging and may indicate underlying medical issues, warranting a physical exam to identify the cause.
Question 3 of 5
The 1-year-old with a temperature of 103°F (39.4°C) is diagnosed with roseola. Which information should the nurse provide to the parent? Select all that apply.
Correct Answer: A,D
Rationale: Roseola is characterized by a high fever followed by a rose-pink rash after the fever subsides. Hand hygiene reduces transmission. Aspirin is contraindicated due to Reye's syndrome risk, oatmeal baths are not typically needed, and isolation beyond standard precautions is unnecessary.
Question 4 of 5
The adolescent client diagnosed with HIV has a CD4-positive T-lymphocyte count of 160 mcL. The nurse evaluates that interventions have been most effective when which outcome in the client's plan of care is achieved?
Correct Answer: C
Rationale: A CD4 count of 160 mcL indicates severe immunosuppression; preventing opportunistic infections is the most critical outcome.
Question 5 of 5
The nurse completes teaching about doxycycline to the adolescent diagnosed with Lyme disease. The nurse recognizes the need for further education when the client makes which statement?
Correct Answer: A
Rationale: Lyme disease is not contagious, but tanning can increase photosensitivity, a side effect of doxycycline, risking skin damage.