NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 40-year-old man is admitted to the psychiatric unit for treatment of anxiety neurosis. For several weeks, he has had increasingly frequent periods of palpitations, sweating, chest pain, and choking. His nursing diagnosis is 'severe anxiety, stressor unidentified.' Which of these measures is appropriate during the client's attacks?
Correct Answer: A
Rationale: Providing support and safety during anxiety attacks helps reduce distress and ensures the client feels secure.
Question 2 of 5
An adult woman is admitted to the detoxification unit for alcohol withdrawal. Her husband tells the nurse that he is fed up. Either she gets treatment or he is leaving her. Two days later, the woman develops delirium tremens. At this time, which of these nursing diagnoses should be given priority in caring for this client?
Correct Answer: A
Rationale: Delirium tremens increases impulsiveness and disorientation, posing a high risk for injury, which takes priority over other diagnoses.
Question 3 of 5
The HCP writes orders for the client who is 24 hours postvulvectomy. Which order should the nurse question?
Correct Answer: B
Rationale: A. The perineal wound is cleansed with saline, or the client is given sitz baths for cleansing to promote healing and prevent infection. B. A high Fowler's position places pressure on the perineal area and will increase discomfort. The client should be placed in a low Fowler's position to decrease tension on the suture line and promote comfort. C. A low-residue diet prevents straining at stool and wound contamination. D. Antiembolic stockings increase venous return to decrease the risk of DVT and to assist in the development of collateral pathways for lymph drainage.
Question 4 of 5
The college health nurse is teaching the student athlete diagnosed with infectious mononucleosis. The student asks, "Will I be able to play soccer after I rest up for a few days?" Which is the nurse's best response?
Correct Answer: D
Rationale: Mononucleosis causes splenomegaly, increasing the risk of spleen rupture. Contact sports like soccer should be avoided for 4–6 weeks.
Question 5 of 5
The nurse is caring for the 30-year-old female client. Which concems stated by the client should alert the nurse to the possibility of endometriosis? Select all that apply.
Correct Answer: C,D,E
Rationale: A. Vaginal dryness is not a symptom of endometriosis. B. Premenstrual tension headache is not a symptom of endometriosis. C. Endometriosis is the presence of normal endometrial tissue in sites outside the endometrial cavity. The tissue responds to hormonal influence, and therefore during menstruation the tissue bleeds. This bleeding causes inflammation and pain at the time of menstruation. D. Women with endometriosis are at increased risk for infertility, although the exact reason is unknown. E. Depending on the location of the endometrial tissue, clients may experience pain with intercourse.