NCLEX PN Practice Questions
Question 1 of 5.
The nurse makes a home visit to a client with Alzheimer disease. While reviewing the client's home care needs, the client's spouse states, 'It's hard to see my spouse worsen each day. I'm not sure I can keep doing this alone anymore.' Which response by the nurse is best?
A. Perhaps finding a caregiver to care for your spouse at night might be helpful.
B. Tell me about the care you provide in a typical day and its challenges.
C. Try not to worry. It's normal to feel overwhelmed when you are stressed.
D. You seem worried that you won't be able to provide the care that your spouse needs.
Explanation: Exploring the spouse's daily challenges encourages open communication and helps identify specific support needs.
Question 2 of 5.
The nurse is caring for a woman who is admitted for a hysterectomy. The woman does not speak English. No staff members speak the client's language. Which approach by the nurse would be most appropriate when communicating with the client about her care before and after the surgery?
A. Ask the woman's 8-year-old daughter who speaks English to interpret.
B. Draw pictures and gesture when speaking to the client.
C. Speak very slowly when giving the client instructions.
D. Request an interpreter from social services.
Explanation: The nurse should request an interpreter from social services to ensure accurate communication. Using a child to interpret is inappropriate due to medical terminology and privacy concerns. Pictures, gestures, or slow speech in English are insufficient for surgical care discussions.
Question 3 of 5.
The nurse is caring for a client who has been in alcohol detoxification for one week. The client has slurred speech and is bumping into doorframes and walking unsteadily. What is the most appropriate initial action by the nurse?
A. Assess for Wernicke-Korsakoff syndrome
B. Ask for an order for blood alcohol level
C. Request a neurology consult
D. Administer a PRN dose of diazepam (Valium)
Explanation: Slurred speech and unsteady gait post-detox may indicate Wernicke-Korsakoff syndrome, a thiamine deficiency complication, requiring urgent assessment.
Question 4 of 5.
An adult who is scheduled for surgery tomorrow asks the nurse to arrange for his Healing Touch practitioner to give him healing touch treatments after surgery. The client's daughter who hears the request asks the nurse to explain how Healing Touch can help her father. What information should the nurse include in the response?
A. Healing Touch makes use of the power of suggestion and can help the person feel more comfortable.
B. No one really knows how it works, but if a person really wants it, it certainly will not hurt.
C. The Healing Touch practitioner works within the energy field around the person to facilitate healing and pain relief.
D. Healing Touch is similar to acupuncture except that pressure is used instead of needles.
Explanation: Healing Touch involves manipulating the energy field to promote healing and pain relief, a recognized complementary therapy.
Question 5 of 5.
An adult is hospitalized following a myocardial infarction. While the client is receiving heparin, the nurse should have which of the following medications available?
A. Aspirin
B. Calcium gluconate
C. Vitamin K
D. Protamine sulfate
Explanation: Protamine sulfate is the antidote for heparin overdose, reversing its anticoagulant effects in case of bleeding.
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