NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A client has a history of chronic undifferentiated schizophrenia. Because she has a history of noncompliance with antipsychotic therapy, she'll receive fluphenazine decanoate (Prolixin Decanoate) injections every 4 weeks. Before discharge, what should the nurse include in her teaching plan?
Correct Answer: B
Rationale: The nurse should teach the client how to manage common adverse reactions, such as orthostatic hypotension and anticholinergic effects. The antipsychotic effects of the drug may take several weeks to appear. Droperidol increases the risk of extrapyramidal effects when given in conjunction with phenothiazines such as fluphenazine. Tardive dyskinesia is a possible adverse reaction and should be reported immediately.
Question 2 of 5
The nurse is caring for a manic client in the seclusion room, and it is time for lunch. It is MOST appropriate for the nurse to take which of the following actions?
Correct Answer: D
Rationale: For safety, a manic client in seclusion should remain in the seclusion room. Serving the meal there ensures the client receives nutrition at the regular time without compromising safety. Taking the client to the dining room (
A) risks escalation, and withholding the meal (B,
C) is inappropriate.
Extract:
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Question 3 of 5
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Correct Answer: B
Rationale: Coughing and deep breathing promote lung expansion and secretion clearance post-chest drainage.
Extract:
Question 4 of 5
A 14-year-old girl is brought to the emergency room because she is difficult to arouse. She is 5 feet, 8 inches tall and weighs 80 pounds. What additional findings would the nurse expect to be present?
Correct Answer: B
Rationale: Severe underweight (suggesting anorexia nervosa) often causes amenorrhea due to hormonal disruption. Tachycardia, wheezing, or acne are less specific.
Extract:
Mr. Holland is a 55-year-old male patient who has a long history of ETOH abuse. He presently undergoes evaluation tests for suspected liver cirrhosis.
Question 5 of 5
The nurse understands that a liver biopsy may be contraindicated in certain situations. Therefore, it is important for the nurse to assess the patient for:
Correct Answer: C
Rationale: Prolonged prothrombin time indicates bleeding risk, a contraindication for liver biopsy.