Practice Tests: NCLEX-PN Practice Exam #6 - 50 questions
All 50 questions are randomized each time you take the test, and do not appear in the same order here.
1. A psychiatric patient asks, "Are we at my apartment in New York City? I don't want to leave my room because I'm afraid of getting mugged! What is the LPN's best response?
- "No, we are in a hospital in Seattle, Washington. Why are you worried about being mugged? Have you been mugged before?"
- "Tell me a little more about how you're feeling. Did you have an apartment in New York once?"
- "It sounds like you are feeling scared or anxious. We are not at an apartment in New York, we are at a hospital in Seattle, Washington."
- "Are you feeling anxious? Don't worry, you are safe and I won't let anything bad happen to you."
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2. The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
- reactive
- maturational
- situational
- adventitious
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3. The PN is caring for a patient who had been the family breadwinner with a wife and multiple children prior to an accident that has left the patient bedridden. Which of these would indicate that the patient has not yet adapted to this situational role change?
- The patient comments that eventually he will be able to return home and be present for his family.
- The patient notes that his spouse has always been capable of caring for the majority of the children's needs.
- The patient sets a realistic goal of when he will return to work.
- The patient refuses the majority of assistance in an attempt to maintain control.
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4. Which of these is not a stage of group therapy development?
- termination stage
- discovery stage
- working stage
- initial stage
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5. Two staff nurses were considered for promotion to head nurse. The promotion is announced via a memo on the unit bulletin board. The nurse who was not promoted tells a friend, "Oh, well, I really didn't want the job anyway." This is an example of:
- rationalization
- denial
- projection
- compensation
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6. A female patient is about to begin her first chemotherapy treatment. She tells the LPN, "It sounds silly, but I'm just so afraid of how people will react to me once I lose all my hair. I always had such pretty hair... I know, stupid, right?" What is the LPN's best response?
- "Your hair will grow back right after treatment stops. And for many women, it grows back even thicker and shinier! For now, just focus on getting better."
- "Don't worry. The way they make wigs these days, no one will be able to tell! Would you like me to help you pick one out?"
- "Most people are pretty understanding about chemo hair loss, but I know it's hard. Have you joined our chemotherapy support group?"
- "Many people have a hard time with chemo-related hair loss. Tell me a little more about your concerns."
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7. A nurse notes that an elderly client suddenly does not keep appointments and is not wearing appropriate clothing. Which statement by the client raises the suspicion of financial abuse?
- "I am having difficulty paying for this new antibiotic the physician prescribed."
- "I am a little short on cash since my daughter moved in to help me."
- "I have not felt like shopping since the weather has gotten worse."
- "People do not realize how difficult it is to make ends meet on a fixed income."
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8. During a well-baby check of a 6-month-old infant, the nurse notes abrasions and petechiae of the palate. The nurse should:
- inquire about foods the child is eating
- ask about the possibility of sexual abuse
- request to see the type of bottle used for feedings
- question the parent about objects the child plays with
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9. Which of these is not a focus when attempting to orient a disoriented and confused patient to reality?
- the last meal the patient ate
- the patient's current location
- the current day or time
- the patient's identity
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10. After the client discusses her relationship with her father, the nurse says, "Tell me whether I am understanding your relationship with your father. You feel dominated and controlled by him?" This is an example of:
- verbalizing the implied
- seeking consensual validation
- encouraging evaluation
- suggesting collaboration
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11. A client reports that someone is in the room and trying to kill him. The nurse's best response is:
- "No one is in your room. Let's get you more medicine."
- "I do not see anyone, but you seem to be very frightened."
- "No one can hurt you here."
- "Just tell the person to go away."
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12. Which of the following is least likely to be an underlying reason for elder abuse or neglect?
- medication side effects
- caregiver strain
- financial problems
- dependent elder in need of assistance
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13. How does the ANA define the psychiatric nursing role?
- a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its art
- assisting the therapist to relieve the symptoms of clients
- to solve clients' problems and give them the answers
- having a client committed to long-term therapy with the nurse
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14. Spirituality affects a client's life in all of the following areas except:
- nutritional intake
- ability to handle stress
- sexual expression
- genetic makeup
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15. A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?
- prosecuting the perpetrator
- managing symptoms of anxiety and fear
- determining if the memories are real
- collaborating the client's story
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16. An appropriate question when assessing a client's self-expectations about weight loss is.
- "What makes you think you can change your eating habits?"
- "How do you feel about losing weight?"
- "How important is it that you lose weight?"
- "What do you think is a realistic weekly weight loss for you?"
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17. The LPN is meeting a newly hospitalized patient and suspects he may have depression. Which question would best help her assess this?
- "Are you depressed?"
- "How do you feel about being here?"
- "Does depression run in your family?"
- "What activities do you enjoy?"
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18. The LPN is receiving report on a newly admitted 14-year-old boy. He is described as being very bright and a good communicator, but his social interactions seem a bit "off." He spends much of his time playing with his baseball card collection, which he has organized in a meticulous fashion. Given this information, which diagnosis does the nurse suspect the patient may have?
- autism spectrum disorder
- Asperger's syndrome
- ADHD
- Rett syndrome
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19. The nurse who was not promoted tells another friend, "I knew I'd never get the job. The hospital administrator hates me." If she actually believes this of the administrator, who, in reality, knows little of her, she is demonstrating:
- compensation
- reaction formation
- projection
- denial
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20. An LPN is having a serious discussion with a patient who is facing a major surgery. During their conversation, the LPN is careful to pause and allow for silence. Which of these is the best reason for him to do this?
- It is designed to make sure the patient is actually paying attention.
- It gives the patient an opportunity to think about what is being discussed and ask related questions.
- It allows the patient to have a break from discussing such a serious topic.
- It allows the patient to write down questions he or she has for the doctor.
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21. While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that.
- psychiatric illness is more prevalent in addicted populations
- people with psychiatric disorders are more prone to substance abuse
- substance disorders are easily detected and diagnosed in acute-care psychiatric settings
- undetected substance problems have no real effect on treatment of psychiatric disorders
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22. An LPN learns her newly admitted female patient is of the Muslim faith. Which of these actions would not be appropriate to take before meeting the patient?
- look up the number for the hospital Imam
- obtain a long-sleeved gown, hair covering, and long hospital pants
- ask the charge nurse if there is a private space conducive to prayer
- check to see if the cafeteria offers Halal options
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23. On a Thursday, the PN is caring for an inpatient who identifies as a Seventh Day Adventist. The patient is scheduled for a minor invasive procedure on Saturday. Which of these is the most appropriate action?
- Ask the patient if he has any specific beliefs or restrictions on the Sabbath.
- Move forward with the procedure without question.
- Reschedule the procedure for Friday.
- Reschedule the procedure for Sunday.
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24. When planning intervention for a client during a crisis, which of the following outcomes is most appropriate?
- The client should explore deep psychological problems.
- The client should express positive feelings about event.
- The client should identify needs that are threatened by the event.
- The client should use constructive coping mechanisms.
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25. The PN is caring for an American-Indian male. While explaining an upcoming procedure, the patient stares at the floor. Which of these is the most accurate assumption concerning this patient behavior?
- The patient is being respectful of the nurse.
- The patient needs a nurse of a different gender to explain the procedure.
- The patient is showing that they do not consent to the procedure.
- The patient is not paying attention.
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26. The difference between spirituality and religion is that spirituality is:
- a belief about a higher power
- an individual's relationship with a higher power
- organized worship
- a belief in an invisible energy or ideal
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27. What is the primary goal of family education?
- symptom reduction
- improved quality of life
- increased knowledge about mental illness
- improved caregiving skills
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28. A patient walks to the nurse's desk and casually mentions he is "going for a smoke" outside. When the LPN reminds him that the hospital has a strict no-smoking policy everywhere on campus, including outside, he becomes verbally abusive. What should the nurse's first response be?
- Tell him if he insists, he must go off hospital grounds or he may incur a fine.
- Tell the patient he is being inappropriate and that he should lower his voice.
- Calmly walk the patient back to his room.
- Call the attending doctor for a nicotine patch.
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29. Which of the following services is not part of family consultation?
- assisting with vocational rehabilitation
- providing information about the client's illness
- teaching effective communication
- helping families solve problems
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30. The nurse observes a staff member not following the plan of care for a client with an antisocial personality disorder. The nurse should:
- confront the staff member immediately and say, "You know that is not the treatment plan"
- write an incident report to create a paper trail of the staff member's failure to follow the planned program
- ask the staff member to talk in private, and reinforce how antisocial clients try to divide staff
- bring up the incident during the weekly conference so that this staff member is not assigned to work with antisocial persons again
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31. A 60-year-old widower is hospitalized after complaining of difficulty sleeping, extreme apprehension, shortness of breath, and a sense of impending doom. What is the best response by the nurse?
- "You have nothing to worry about. You are in a safe place. Try to relax."
- "Has anything happened recently or in the past that might have triggered these feelings?"
- "We have given you a medication that helps to decrease feelings of anxiety."
- "Take some deep breaths and try to calm down."
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32. A mother has just given birth to a baby who died soon after. The mother has been crying and states, "I can't believe this has happened to me. I did everything right during this pregnancy." How should the nurse respond to this mother?
- Tell her she did nothing wrong; it was God’s will.
- Tell her she can have another baby.
- Tell her that her behavior is not going to solve anything.
- Tell her nothing and let her mourn this loss in the manner she chooses.
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33. An LPN student nurse is assigned to shadow you for the day. When she learns one of the patients you are caring for has Hepatitis C, she states, "I might find another nurse to shadow. I really don't feel comfortable caring for anyone with Hepatitis C." What is your best response?
- "As a nurse, you will take care of patients with many types of illnesses. I think it's best you stay with me."
- "Don't worry. I've taken care of this guy many times. He's super nice and pretty independent, so you won't have any physical contact with him."
- "Why are you so afraid of Hepatitis C? If you take proper precautions, you will not get it."
- "What do you know about Hepatitis C?"
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34. The best definition of communication is:
- the sending and receiving of messages
- the effect of sending verbal messages
- an ongoing, interactive form of transmitting transactions
- the use of message variables to send information
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35. The PN is selecting a meal from the cart for a pediatric Jewish patient who follows a kosher diet. Which of these meals would be most appropriate for the patient?
- pepperoni pizza slice
- salmon and broccoli
- shrimp tacos and chips
- cheeseburger and side salad
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36. The PN is caring for a patient who has received a diagnosis of a terminal illness recently. When the PN checks on the patient during meal time, he finds that the patient has slammed his food tray against the wall in anger. What ego defense mechanism is this an example of?
- regression
- sublimation
- projection
- displacement
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37. When planning care of a client who has a been diagnosed with Amphetamine Abuse, the nurse should use the knowledge that.
- amphetamines increase energy by increasing dopamine levels at neural synapses
- amphetamines have a low risk of tolerance or addiction
- amphetamines produce a 10-20-second rush followed by a 2-4-hour high
- addiction to barbiturates and amphetamines is rare because they have opposite effects
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38. A patient says to the LPN/LVN, "I think you're really cute and we get along so well. Once I'm out of here, would you like to go on a date sometime?" Which response by the LPN/LVN is the most appropriate?
- "I'm glad you feel we get along, but I am here to take care of you during your stay in the hospital."
- "I cannot discuss this with you during my shift. I will come by when I'm done working and give you my number."
- "Wow, that is very flattering, but I'm engaged."
- "That is inappropriate, and I am going to have to report this conversation to my manager."
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39. The nurse is assessing an elder who the nurse suspects is being physically abused. The most important question for nurse to ask is:
- "How much money do you keep around the house?"
- "Who provides your physical care?"
- "How close does your nearest relative live?"
- "What form of transportation do you use?"
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40. The Token Economy is a type of therapy that focuses on:
- play therapy
- behavior modification
- milieu therapy
- associative
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41. The nurse supporting a family who has just experienced a sudden and unexpected death needs to know.
- that survivors have greater emotional turmoil and shock than when death is expected.
- that survivors have less emotional turmoil and shock than when death is expected.
- that survivors have the same emotional turmoil and shock as when death is expected.
- that survivors have little emotional turmoil and shock because they were not there.
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42. A 6-year-old patient suddenly yells out, "I hate my daddy! What would be the LPN's best response?
- "You are not alone. We all get angry at our parents sometimes."
- "You don't mean that. Your daddy loves you so much."
- "I understand you're upset. Why don't we call your daddy and see if we can talk this through?"
- "You sound upset. What is making you feel this way?"
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43. Which intervention should the nurse take first to assist a woman who states that she feels incompetent as the mother of a teenage daughter?
- Recommend that she discipline her daughter more strictly and consistently.
- Make a list of things her husband can do to help her improve.
- Assist the mother to identify what she believes is preventing her success and what she can do to improve.
- Explore with the mother what the daughter can do to improve her behavior.
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44. An adult who had been abused as a child is discussing the group therapy program. Which statement indicates that the client has gained insight?
- "I think I was a lonely child because I could not tell anyone about my abuse."
- "I am now aware of how deep-seated my anger is. Before I did not realize I was angry."
- "The program has given me the courage to tell my mother how I felt about her role in my hurt."
- "There are so many people just like me, who are just normal people that had bad things happen to them."
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45. The nurse is developing a care plan for a client with severe anxiety. An appropriate outcome for the client is that within 4 days the client should:
- Have decreased anxiety
- Talk to the nurse for 10 minutes
- Sit quietly for 30 minutes
- Develop an adaptive coping mechanism
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46. The highest incident of child abuse occurs in children in which age group?
- 3-year-old
- 4-6-year-old
- 6-10-year-old
- more than 10-year-old
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47. A family member of a client with a diagnosis of Schizophrenia asks about the prognosis. The nurse's response is based on the knowledge that schizophrenia.
- affects women more often than men
- is usually diagnosed between the ages of 15 and 45
- is a chronic, deteriorating disease with periods of remission
- is diagnosed later in women due to a protective hormone effect
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48. A man expresses surprise that his wife has become very withdrawn during hospitalization for pneumonia. Which response helps the husband understand how some people cope with hospitalization?
- "Hospitalization might cause a crisis. Has your wife had to cope with problems before this?"
- "Some people react that way. She will be more talkative when she feels better."
- "Your wife might be feeling concern that she cannot fulfill her normal roles."
- "This is typical behavior for someone who is as ill as your wife."
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49. The PN is caring for a patient who has a history of exhibiting inappropriate and dangerous behavior in brief episodes. The PN is asked to suggest ways to adapt that patient's care plan to prevent these episodes. Which of the following is not an appropriate suggestion?
- Allow the patient to participate in physical exercise to help decrease the patient's stress.
- Promote appropriate socialization to make sure the patient is having enough personal interaction.
- Change the patient's schedule daily to help the patient adjust to unexpected changes.
- Ensure the patient has the same bedtime to promote adequate sleep.
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50. A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:
- constantly observing the client to prevent self-harm
- enlisting the client in defining and describing harmful behaviors
- checking on the client every 15 minutes to ensure she is not engaging in harmful behavior
- removing all items from the environment that the client could use to harm herself
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