NCLEX-PN
NCLEX Practice Test PN Questions
Extract:
Question 1 of 5
A client admitted with acute myocardial infarction suddenly displays air hunger, dyspnea, and coughing with frothy, pink-tinged sputum. What would the nurse anticipate when auscultating the breath sounds of this client?
Correct Answer: C
Rationale: Frothy, pink-tinged sputum and dyspnea indicate pulmonary edema, a complication of myocardial infarction. Diffuse bilateral crackles are heard due to fluid in the alveoli.
Question 2 of 5
During the initial home visit, a nurse is discussing the care of a client newly diagnosed with Alzheimer's disease with family members. Which of these interventions would be most helpful at this time?
Correct Answer: D
Rationale: Alzheimer's disease, a progressive chronic illness, greatly challenges caregivers. The nurse can be of greatest assistance in helping the family to use communication strategies to enhance their ability to relate to the client.
Question 3 of 5
The nurse reviews a client's medical record and notes the following PRN medication prescriptions: acetaminophen, haloperidol, and benztropine. The nurse would administer a dose of benztropine on assessing which client behavior?
Correct Answer: A
Rationale: Benztropine is an anticholinergic used to treat extrapyramidal symptoms (EPS), such as muscle rigidity and shuffling gait, which are side effects of antipsychotics like haloperidol.
Question 4 of 5
A child's burn is debrided each day with hydrotherapy to remove the eschar. The child's parents ask why this immersion is necessary. What is the most appropriate response for the nurse to make?
Correct Answer: A
Rationale: Hydrotherapy removes eschar to prevent infection and prepare for grafting, accurately explaining the procedure's purpose.
Question 5 of 5
A victim of domestic violence tells the batterer she needs a little time away. How would the nurse expect that the batterer might respond?
Correct Answer: B
Rationale: With fear of rejection causing increased rage toward the victim. Fear of abandonment often escalates abusive behavior.