PN NCLEX Practice Questions
Question 1 of 5.
A 9-year-old client has terminal cancer, but the parents do not want the child to know the prognosis. Over the past days, the child has started asking questions such as what dying is like and whether the child will die. Which of the following actions by the nurse is most appropriate?
A. Encourage the parents to openly discuss the child's questions
B. Notify the health care provider about the child's questions
C. Remind the child that everyone is trying to help the child get better
D. Tell the child to ask the parents the questions about death
Explanation: Encouraging parental discussion supports the child's emotional needs and honesty. Notifying the provider , reassuring falsely , or redirecting avoid addressing the child's questions.
Question 2 of 5.
A woman who is at 39 weeks gestation enters the hospital in early labor. Several hours later, she says, 'What's happening? I suddenly feel as though I have to have a bowel movement.' The woman starts bearing down as if to push out stool. What is the best initial action for the licensed practical nurse at this time?
A. Encourage her to push
B. Ask her to pant
C. Immediately call the charge nurse
D. Ask her when she last had a bowel movement
Explanation: The urge to have a bowel movement and bearing down indicate advanced labor or delivery. Panting prevents pushing, allowing time to assess and prepare for delivery.
Question 3 of 5.
The nurse is caring for an adult male who is receiving haloperidol (Haldol). Which complaint by the client is of most concern to the nurse and should be immediately reported?
A. I have gained so much weight in the last few months.
B. I am having trouble getting an erection.
C. My legs are cramping and I feel like I need to walk all the time.
D. It's really embarrassing. I'm drooling a lot.
Explanation: Leg cramping and restlessness suggest akathisia, a serious extrapyramidal side effect of haloperidol, requiring immediate reporting.
Question 4 of 5.
Divalproex sodium (Depakote) is prescribed for a 28-year-old female. Which lab test would the nurse expect prior to administration of the medication?
A. Urine drug screen
B. Pregnancy test
C. CBC with differential
D. Liver function tests
Explanation: Divalproex is teratogenic; a pregnancy test is critical in females of childbearing age to prevent fetal harm.
Question 5 of 5.
The nurse is discussing hypertension with a group of people. Which person is at greatest risk for hypertension?
A. A 63-year-old overweight Caucasian female office worker who smokes and whose parents both had high blood pressure.
B. A 52-year-old African-American female of normal weight whose parents have diabetes and who is an avid swimmer.
C. A 48-year-old Hispanic-American smoker whose father had high blood pressure.
D. A 45-year-old Native American who leads a sedentary life and smokes.
Explanation: Age, obesity, smoking, and family history of hypertension confer the highest risk, as seen in the 63-year-old Caucasian female.
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