NCLEX-PN Practice Test

Answer choices

1. A. The client has an anxiety disorder.
2. B. The client is experiencing mania.
3. C. The finding should be interpreted cautiously and explored with additional assessment because eye contact can reflect mood as well as cultural norms.
4. D. The client has delirium.

Wrong-answer review

• A. The client has an anxiety disorder.: A single eye-contact pattern is insufficient to identify an anxiety disorder.
• B. The client is experiencing mania.: Avoided eye contact does not establish mania.
• D. The client has delirium.: Delirium requires evidence of acute cognitive disturbance, not simply reduced eye contact.

Answer choices

1. A. Encourage exposure to visitors so the client develops natural immunity.
2. B. Delay infection-prevention measures until a fever occurs.
3. C. Focus only on treating infection if cultures later become positive.
4. D. Implement meticulous infection-prevention measures and closely monitor for signs of infection according to agency policy.

Answer choices

1. A. Administer prescribed medications according to standard protocols.
2. B. Teach the patient about Western medical practices.
3. C. Make space and seating available within the client’s room for accompanying family members.
4. D. Avoid discussing the patient’s cultural beliefs.

Answer choices

1. A. “I know the clinic is open on Tuesdays.”
2. B. “I helped choose a movie for family night.”
3. C. “I understand why my sibling takes medicine.”
4. D. “It feels like my needs are not as important because so much attention goes to my sibling.”

Answer choices

1. A. Administer a calming medication as prescribed
2. B. Provide the client with a distraction, such as a magazine
3. C. Review the client’s medication schedule and administer medications as ordered
4. D. Affirm the client’s effort and courage in showing up

Answer choices

1. A. Focus safety accountability only on bedside nurses because leaders do not influence safety culture.
2. B. Wait for a sentinel event before addressing safety concerns.
3. C. Accept accountability for protecting clients, employees, and visitors and model safety-focused behaviors across the organization.
4. D. Treat safety as a private concern that should not be discussed across departments.

Answer choices

1. A. At-risk behavior.
2. B. Simple human error.
3. C. Reckless behavior.
4. D. Systemic failure.

Answer choices

1. A. Check the client’s blood glucose and assess the current situation before deciding whether the scheduled insulin can be safely administered.
2. B. Notify the provider before obtaining any current client data.
3. C. Administer the NPH insulin automatically because it is scheduled.
4. D. Double the insulin dose because the client is ill.

Answer choices

1. A. Lie down on their back.
2. B. Apply pressure to the arm post-measurement.
3. C. Place the arm on a pillow elevated above heart level.
4. D. Sit quietly in a chair for at least five minutes.

Answer choices

1. A. Post the case as long as the client’s first name is omitted.
2. B. Do not post client or client-care information on social media, even in a group believed to be private.
3. C. Post photographs if the nurse removes the room number.
4. D. Post the information if the purpose is education rather than entertainment.