NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 17-year-old female receives treatment for primary amenorrhea caused by hyperthyroidism. Which finding during a clinic visit should indicate to the nurse that treatment for amenorrhea was effective?
Correct Answer: C
Rationale: A. An increased weight may help with initiating a menstrual cycle if the cause is a body fat composition of less than 10%, but this does not indicate that the woman has started her menstrual cycle. B. If the client is not menstruating (amenorrhea), she will not have menstrual cramps. C. Hyperthyroidism and a body fat composition of less than 10% can be contributing factors to amenorrhea (absence of menses). The start of a menstrual cycle indicates that treatment of the underlying cause of amenorrhea is effective. D. The absence of a fine hand tremor may indicate treatment is effective for the hyperthyroidism. It does not indicate that the primary amenorrhea is resolved.
Question 2 of 5
The nurse on the pediatric unit is preparing to administer acetaminophen according to weight to the 6-year-old diagnosed with chicken pox. The recommended dose is 15 mg per kilogram. How many milligrams should the nurse give if the child weighs 54 lb?
Correct Answer: 368 mg
Rationale: Convert 54 lb to kg: 54 ÷ 2.2 = 24.55 kg. Calculate dose: 15 mg/kg × 24.55 kg = 368.25 mg, rounded to 368 mg.
Question 3 of 5
A client with severe anxiety manifested by many somatic complaints starts psychotherapy. She becomes increasingly anxious, and her physical symptoms intensify. The nurse should make which of these interpretations of her observations?
Correct Answer: C
Rationale: Increased anxiety and symptoms are common early in psychotherapy as clients confront underlying issues, an expected response.
Question 4 of 5
An adult male is being treated for depression. He has been in the hospital for three weeks. Which observation by the nurse is indicative of improvement in his condition?
Correct Answer: D
Rationale: Initiating conversation indicates improved social engagement, a sign of recovery from depression.
Question 5 of 5
An elderly woman is admitted to the hospital with a productive cough, progressive forgetfulness, an inability to concentrate, and disinterest in her personal hygiene. What should be of greatest priority as the nurse assesses this client?
Correct Answer: D
Rationale: A productive cough is a priority as it may indicate a respiratory infection, which can be life-threatening in the elderly, requiring immediate assessment.