NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 15-year-old client's mother asks the nurse why the I-ICP prescribed oral contraceptives (OCPs) for treating her daughter's dysmenorrhea. Before responding to the mother, which fact about oral contraceptives should the nurse consider?
Correct Answer: D
Rationale: A. OCPs do not inhibit inflammation. B. OCPs do not increase uterine blood flow; the amount of menstrual discharge may decrease with OCP usage as a result of decreased endometrial stimulation. C. OCPs do inhibit progesterone production, but it is not progesterone that stimulates uterine contractions and pain; rather, it is prostaglandins. D. OCPs block ovulation by preventing the release of follicle stimulating hormone from the pituitary. The absence of ovulation decreases the sequential stimulation of the endometrium by estrogen and progesterone. This results in a decrease in the prostaglandin production by the endometrium and thus a decrease in pain.
Question 2 of 5
While a client is taking chlorpromazine (Thorazine), he should be observed for which of these symptoms?
Correct Answer: A
Rationale: Pseudoparkinsonism is a common side effect of chlorpromazine due to its effect on dopamine receptors, mimicking Parkinson's symptoms.
Question 3 of 5
Lithium carbonate is ordered for a client with overactive behavior. The nurse should observe the client for which of these side effects?
Correct Answer: A
Rationale: Diarrhea is a common side effect of lithium, requiring monitoring to prevent dehydration or toxicity.
Question 4 of 5
A 25-year-old woman has admitted herself to the psychiatric unit for treatment of Valium addiction. She is currently taking 150 mg PO of Valium per day, which she gets from various doctors or buys off the streets. The first night she is on the unit, she dresses in a short, see-through nightgown and approaches the male nurse. She states that she is 'coming down' and just needs a little comforting and conversation. What is the best initial response by the nurse?
Correct Answer: A
Rationale: Requesting a bathrobe sets boundaries, maintaining professionalism while allowing for conversation, addressing her manipulative behavior appropriately.
Question 5 of 5
To initiate a relationship with a child who may be autistic, the nurse would probably be most effective by using which of these approaches?
Correct Answer: C
Rationale: Sitting quietly with the child respects their social sensitivities, fostering trust without overwhelming them, unlike interactive games.