Test Bank
NCLEX-PN Next Generation Practice Exam, NCSBN/Pearson
Integrated NGN Practice Examination with Clinical Judgment Foc
NCLEX-PN NGN PRACTICE EXAM CLINICAL JUDGMENT FOCUSED — FULL ORIGINAL
1.
A nurse is caring for four clients. Which client should be seen FIRST?
A. Client reporting mild anxiety
B. Client with schizophrenia pacing aggressively
C. Client asking for discharge instructions
D. Client requesting pain medication in 1 hour
Answer: B
2.
A client states, “I have a plan to kill myself tonight.” What is the nurse’s priority action?
A. Ask about family support
B. Place client on 1:1 observation
C. Encourage journaling
D. Offer group therapy
Answer: B
3.
A confused elderly client tries to leave the unit. What is the best nursing action?
A. Restrain immediately
B. Use calm redirection and stay with client
,C. Ignore behavior
D. Lock the room
Answer: B
4.
A client becomes verbally aggressive and clenches fists. First action?
A. Call security immediately
B. Maintain calm tone and increase distance
C. Turn away
D. Argue with client
Answer: B
5.
Which situation requires immediate intervention?
A. Client crying
B. Client hallucinating voices commanding harm
C. Client talking to self quietly
D. Client resting in bed
Answer: B
🧠 11–20: Mental Health Clinical Judgment
6.
A client with depression suddenly becomes calm and gives away belongings. What does this
indicate?
A. Improvement
B. Increased suicide risk
C. Anxiety reduction
D. Recovery
Answer: B
7.
Best nursing response to a client reporting auditory hallucinations:
A. “The voices are real.”
B. “I don’t hear them, but I see you are upset.”
C. “Stop hearing voices.”
D. “Ignore them.”
Answer: B
, 8.
A client experiencing panic attack should first be:
A. Left alone
B. Guided in slow breathing
C. Restrained
D. Given sedation immediately
Answer: B
9.
Which behavior indicates worsening psychosis?
A. Social interaction
B. Disorganized speech
C. Calm mood
D. Sleep improvement
Answer: B
10.
Priority nursing principle in psychiatric emergencies is:
A. Therapy
B. Safety
C. Documentation
D. Education
Answer: B
🧠 21–30: Crisis Intervention
11.
A client threatens harm to others. What is the nurse’s priority?
A. Document
B. Ensure safety and remove triggers
C. Ignore threat
D. Discharge client
Answer: B
12.
A client in crisis is shouting and pacing. Best action?
A. Argue
NCLEX-PN Next Generation Practice Exam, NCSBN/Pearson
Integrated NGN Practice Examination with Clinical Judgment Foc
NCLEX-PN NGN PRACTICE EXAM CLINICAL JUDGMENT FOCUSED — FULL ORIGINAL
1.
A nurse is caring for four clients. Which client should be seen FIRST?
A. Client reporting mild anxiety
B. Client with schizophrenia pacing aggressively
C. Client asking for discharge instructions
D. Client requesting pain medication in 1 hour
Answer: B
2.
A client states, “I have a plan to kill myself tonight.” What is the nurse’s priority action?
A. Ask about family support
B. Place client on 1:1 observation
C. Encourage journaling
D. Offer group therapy
Answer: B
3.
A confused elderly client tries to leave the unit. What is the best nursing action?
A. Restrain immediately
B. Use calm redirection and stay with client
,C. Ignore behavior
D. Lock the room
Answer: B
4.
A client becomes verbally aggressive and clenches fists. First action?
A. Call security immediately
B. Maintain calm tone and increase distance
C. Turn away
D. Argue with client
Answer: B
5.
Which situation requires immediate intervention?
A. Client crying
B. Client hallucinating voices commanding harm
C. Client talking to self quietly
D. Client resting in bed
Answer: B
🧠 11–20: Mental Health Clinical Judgment
6.
A client with depression suddenly becomes calm and gives away belongings. What does this
indicate?
A. Improvement
B. Increased suicide risk
C. Anxiety reduction
D. Recovery
Answer: B
7.
Best nursing response to a client reporting auditory hallucinations:
A. “The voices are real.”
B. “I don’t hear them, but I see you are upset.”
C. “Stop hearing voices.”
D. “Ignore them.”
Answer: B
, 8.
A client experiencing panic attack should first be:
A. Left alone
B. Guided in slow breathing
C. Restrained
D. Given sedation immediately
Answer: B
9.
Which behavior indicates worsening psychosis?
A. Social interaction
B. Disorganized speech
C. Calm mood
D. Sleep improvement
Answer: B
10.
Priority nursing principle in psychiatric emergencies is:
A. Therapy
B. Safety
C. Documentation
D. Education
Answer: B
🧠 21–30: Crisis Intervention
11.
A client threatens harm to others. What is the nurse’s priority?
A. Document
B. Ensure safety and remove triggers
C. Ignore threat
D. Discharge client
Answer: B
12.
A client in crisis is shouting and pacing. Best action?
A. Argue
