Free PN NCLEX Practice Questions
Question 1 of 5.
An adult is admitted to the psychiatric unit with a severe phobia. She develops severe anxiety when she crosses any type of bridge. She can no longer go to work or go shopping at the mall. The day after admission, she develops a panic attack and refuses to go to occupational therapy because she has to cross a bridge-like structure to go from one area of the hospital to another. How should the nurse respond to this situation?
A. Accompany the client as she goes to occupational therapy
B. Request that she be excused from occupational therapy until she is less anxious
C. Have a staff member walk her to occupational therapy by a different route that does not cross a bridge-like structure
D. Tell her that facing her fears is the only way to conquer them and that the nurse will help her do that
Explanation: Using an alternate route avoids triggering the phobia, allowing participation in therapy while respecting her current anxiety level.
Question 2 of 5.
The parent of a young adult recently diagnosed as being HIV positive calls the clinic in a panic saying, 'My son just cut himself shaving, and there is blood all over the bathroom. What should I do?' How should the nurse respond?
A. Tell the parent to call 911 and ask for the Hazmat Team to come and assist.
B. Suggest that the parent clean the bathroom with hot soapy water while wearing gloves.
C. Recommend that the parent put on rubber gloves and use household bleach to clean the blood spills.
D. Tell the parent to put on rubber gloves and clean the area with hydrogen peroxide.
Explanation: Household bleach effectively disinfects HIV in blood spills, and gloves protect the parent, following standard precautions.
Question 3 of 5.
A woman has just started receiving external radiation therapy. When the nurse enters the client's room, she notes that the client is scrubbing the area vigorously with soap and water. When asked about her actions, the woman replies that she is trying to get rid of the ugly purple marks. What is the best action for the nurse at this time?
A. Explain that the purple marks must stay on her because they tell the doctors where to beam the radiation
B. Suggest that alcohol will make it easier to remove the marks
C. Say, 'You feel the marks are ugly.'
D. Ask her if she checked with her physician before trying to remove the purple marks
Explanation: Radiation marks guide precise targeting; explaining their necessity prevents removal and ensures effective treatment.
Question 4 of 5.
An adult is scheduled for a cardioversion next week. What should the nurse plan to include when teaching the client about the procedure?
A. The client should be NPO for eight hours before the procedure.
B. The client will be awake during the procedure.
C. The procedure will probably need to be repeated every month for at least six months.
D. The procedure is usually done for life-threatening dysrhythmias such as ventricular fibrillation.
Explanation: Cardioversion requires sedation, so the client must be NPO for 8 hours to prevent aspiration. The client is sedated, not awake, it's not typically repeated monthly, and it's used for atrial arrhythmias, not ventricular fibrillation.
Question 5 of 5.
The nurse is caring for a 10-year-old child who has classic hemophilia. He is admitted with a swollen right knee that is very painful. The nurse should plan to include which of the following as a priority in the care of this child upon admission?
A. Range-of-motion exercises to maintain joint mobility
B. Ambulation at least three times a day to prevent immobility complications
C. A bed cradle to reduce pain
D. Offer 250 mL of fluid every hour to prevent hemarthrosis
Explanation: A bed cradle keeps bedding off the painful, swollen knee (hemarthrosis), reducing discomfort, a priority in acute hemophilia management.