NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:
Correct Answer: B
Rationale: The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change. Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment.
Question 2 of 5
A 76-year-old client is admitted to a long-term care facility with Alzheimer's-type dementia. The client has been wearing the same dirty clothes for several days. The nurse contacts the family and asks them to bring in clean clothing. Which intervention would best prevent further regression in the client's personal hygiene?
Correct Answer: A
Rationale: Clients with Alzheimer's-type dementia tend to fluctuate in their capabilities. Encouraging self-care to the extent possible helps increase the client's orientation and promotes a trusting relationship with the nurse. Making the client assume responsibility for physical care is unreasonable. Assigning a staff member to take over the client's physical care restricts the client's independence. Accepting the client's desire to go without bathing promotes poor hygiene.
Question 3 of 5
The nurse is caring for a client who underwent a total hip replacement 48 hours ago. Which of the following actions is MOST important to prevent complications?
Correct Answer: B
Rationale: Keeping the affected leg in a neutral position (e.g., avoiding adduction or extreme rotation) prevents hip dislocation, a major complication post-hip replacement. Ambulation (
A) is important but secondary, antibiotics (
C) depend on orders, and monitoring infection (
D) is routine.
Question 4 of 5
The nurse is caring for a client who had a cholecystectomy 24 hours ago. The client reports nausea and has not had a bowel movement since surgery. The nurse should
Correct Answer: A
Rationale: Nausea post-cholecystectomy may be due to anesthesia or pain medication, and an ordered antiemetic addresses this symptom promptly. Ambulation (
B) and high-fiber diet (
C) promote bowel movement but don’t address nausea, and notification (
D) is unnecessary unless symptoms persist or worsen.
Question 5 of 5
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
Correct Answer: B
Rationale: Directly asking about potential abuse (e.g., grabbing) is appropriate to investigate suspected elder abuse, as bilateral arm bruises suggest gripping. Less specific questions may not elicit critical information. Psychosocial Integrity