NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A 42-year-old client comes to the clinic and is diagnosed with shingles. Which findings confirm this diagnosis? Select all that apply:
Correct Answer: A,B,C,D
Rationale: Shingles, also called herpes zoster, is an acute unilateral and segmental inflammation of the dorsal root ganglia. It's caused by infection with the herpes virus varicella-zoster, the same virus that causes chickenpox. It commonly causes severe, deep pain along a peripheral nerve on the trunk of the body and red, nodular skin lesions. Fever and malaise typically accompany these findings. Diarrhea doesn't commonly occur with shingles.
Question 2 of 5
A nurse is conducting a community health education session on influenza prevention. Which of the following recommendations should be included?
Correct Answer: B
Rationale: Frequent handwashing removes influenza viruses, reducing transmission. Vaccination is critical, masks are beneficial, and fluid intake is unrelated to prevention.
Question 3 of 5
A patient with schizophrenia is experiencing auditory hallucinations. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Asking the patient to describe hallucinations builds trust, assesses severity, and guides treatment without challenging reality. Ignoring, denying, or distracting with TV does not address the patient’s experience.
Extract:
Besides acute glomerulonephritis, a sequela of Streptococcus infection would be:
Question 4 of 5
Nephritic syndrome
Correct Answer: C
Rationale: Rheumatic fever is an inflammatory disease involving the joints, heart, CNS, and subcutaneous tissue, believed to be an autoimmune process triggered by Streptococcus infection.
Extract:
Question 5 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.