NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 38-year-old woman, mother of two, has a mastectomy for breast cancer. When she returns to the physician's office a month later for a routine check-up, the nurse asks the client how she has been. Which of the following responses, if made by the client to the nurse, indicates that the client is experiencing a normal reaction to the surgery?
Correct Answer: B
Rationale: One month post-mastectomy, emotional responses like difficulty coping and frequent crying are normal as the client processes grief and body image changes. Helping family (
A) or returning to work (
D) suggest advanced coping stages premature at this point, and social withdrawal (
C) indicates an abnormal reaction.
Question 2 of 5
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?
Correct Answer: B
Rationale: An increased WBC count indicates infection, probably resulting from peritonitis, which may have been caused by insertion of the peritoneal catheter into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in this client, the value isn't abnormally low because of the daily blood samplings. A lower HCT is common in clients with chronic renal failure because of the lack of erythropoietin.
Question 3 of 5
An adolescent bodybuilder has been taking anabolic steroids to increase his weight and the size and definition of his muscles. Psychological effects of anabolic steroids include:
Correct Answer: B
Rationale: Anabolic steroids can cause aggression and uncontrolled rage , known as 'roid rage.' Confusion , elation , and humor are not typical effects.
Extract:
A patient is getting discharged from a long term facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breathe easily.
Question 4 of 5
Which of the following would be the best instruction for this patient?
Correct Answer: A
Rationale: Deep breathing techniques improve oxygenation, critical for COPD patients.
Extract:
A nurse is going to give health teachings to a group of 11 to 15 years old clients with Diabetes Mellitus.
Question 5 of 5
Considering the group's developmental needs, the type of learning activity planned by the nurse would be:
Correct Answer: D
Rationale: Peer-support activities align with adolescents' developmental need for social connection and shared experiences.