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A 23-year-old premedical student is admitted to a psychiatric hospital in a withdrawn, catatonic state.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
A 45-year-old woman tells the nurse that she is having difficulty reading the newspaper. She states that she holds it away from her but still cannot see it. What is the best response for the nurse to make?
Correct Answer: C
Rationale: Difficulty reading at age 45 suggests presbyopia, a common age-related vision change, best addressed by an eye doctor for accurate prescription glasses.
Question 3 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 4 of 5
An adult says to the nurse, 'The doctor said I have a carcinoma, and my friend has a sarcoma. What is the difference?' What should the nurse include in the response?
Correct Answer: B
Rationale: Carcinomas arise from epithelial tissues (e.g., GI tract, breast), while sarcomas originate from connective tissues (e.g., bone), accurately distinguishing their tissue origins.
Question 5 of 5
An adolescent with a diagnosis of severe anorexia nervosa is now on the adolescent psychiatric unit after being in intensive care to achieve fluid and electrolyte balance. In developing the nursing care plan, which of the following will be of highest priority?
Correct Answer: B
Rationale: Observing after meals prevents purging, a critical behavior to address in anorexia to ensure nutritional retention.