NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 23-year-old premedical student is admitted to a psychiatric hospital in a withdrawn, catatonic state. For two days prior to admission, she remained in one position without moving or speaking. On the unit, she continues to exhibit waxy flexibility as she sits all day. What is the first priority for the nurse during the initial phase of hospitalization?
Correct Answer: A
Rationale: Prolonged immobility in catatonia risks edema and cyanosis, making monitoring extremities the priority to prevent physical complications.
Question 2 of 5
The school nurse is talking with the adolescent who is concerned about hair loss due to tinea capitis. Which response by the nurse is most appropriate?
Correct Answer: B
Rationale: Referring to the HCP's guidance ensures accurate information about hair regrowth, addressing the adolescent's concerns.
Question 3 of 5
The client with newly diagnosed breast cancer asks the nurse to explain the advantages of a sentinel lymph node biopsy (SLNB). Which explanation should the nurse state to the client?
Correct Answer: B
Rationale: A. The SLNB will not improve the ability of the surgeon to remove all of the tumor. B. An SLNB uses a radioactive substance or dye to help to identify axillary lymph node involvement before axillary dissection has occurred. If the sentinel node is identified and is found to be negative for tumor cells, then further axillary lymph node dissection is unnecessary. Thus the lymph drainage of the involved arm can be preserved. C. The SLNB will not make breast reconstruction easier to perform. D. The use of hormonal therapy for breast cancer treatment is determined by the receptor status of the tumor, not by the SLNB results.
Question 4 of 5
A 65-year-old client is seen in an urgent care center for a sprained ankle. The client also tells the nurse, 'I don't know what the problem is. I'm tired all the time. I guess it's just a sign I'm getting old.' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Persistent fatigue is not a normal part of aging and may indicate underlying medical issues, warranting a physical exam to identify the cause.
Question 5 of 5
The school nurse is reviewing the immunization record of the 8-year-old incoming student. Which finding warrants further follow-up by the nurse?
Correct Answer: B
Rationale: Hepatitis B requires 3 doses for full immunization, so 2 doses warrant follow-up.