NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 75-year-old man is brought to the auditory clinic by his son, who tells the nurse that his father is having trouble hearing and seems to be a little depressed. The man says, 'There's no point in getting a hearing aid. I don't have much time left and didn't use the time I had very good anyway.' The nurse recognizes that this behavior indicates that the client might be:
Correct Answer: D
Rationale: The client's statement reflects a sense of regret and despair about his life, consistent with Erikson's stage of integrity versus despair, common in older adults evaluating their life's meaning.
Question 2 of 5
The nurse is caring for a person who has radiation pellets inserted in the mouth to treat oral cancer. One of the pellets falls out. What should the nurse do initially?
Correct Answer: B
Rationale: Using long-handled forceps and a lead-lined container safely handles the radioactive pellet, minimizing exposure risk to the nurse and others.
Question 3 of 5
The medical resident admits the 4-year-old with complications related to chicken pox. Which prescribed medication is most important for the nurse to question?
Correct Answer: D
Rationale: Acetylsalicylic acid (aspirin) is contraindicated in children with viral infections like chickenpox due to the risk of Reye's syndrome, a rare but serious condition affecting the liver and brain.
Question 4 of 5
An adult man is being treated for depression and has been taking amitriptyline (Elavil) for three days. His wife says to the nurse, 'I don't think the medicine is doing anything for him. He is still depressed.' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Amitriptyline requires 2-3 weeks to reach therapeutic levels, so no significant improvement is expected after only three days.
Question 5 of 5
The nurse is planning care for the client who had a TRAM (transrectus abdominis myocutaneous) flap breast reconstruction. Which actions should the nurse include?
Correct Answer: B
Rationale: A. Upper-extremity exercise and ROM are restricted to reduce strain on the incision site. B.
To monitor for viability and adequacy of blood supply to the TRAM flap, the flap must be assessed hourly for the first 24 hours. C. Pressure over the flap is avoided until healing is complete. D. The affected arm should be elevated to promote venous return.