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
All of the following need to be done. Which should the nurse delegate to the certified nursing assistant?
Correct Answer: B
Rationale: Hygienic care is within a CNA's scope. Medication, catheterization, and dressing changes require nursing skills.
Question 3 of 5
A 65-year-old female is planning for retirement. Which statement indicates that the client has achieved ego integrity?
Correct Answer: A
Rationale: Ego integrity, per Erikson, involves acceptance of one's life and finding meaning, as shown by planning to join a travel club .
Choices B, C, and D reflect uncertainty or despair.
Extract:
After paracentesis, the nurse is doing the best action when she
Question 4 of 5
takes patient's BP.
Correct Answer: D
Rationale: Monitoring vital signs post-paracentesis detects complications like hypotension or bleeding.
Extract:
Question 5 of 5
A client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client:
Correct Answer: B
Rationale: The client whose vision is corrected to 20/200 is by definition legally blind because he is able to see at 20 feet what the healthy eye can see at 200 feet. Answer A refers to a refractive error, which is corrected by eyeglasses or one of the laser procedures. Answer C is an inability to focus on near objects due to a loss of elasticity of the lens and is corrected by the use of bifocal eye glasses. Answer D does not apply because the client would experience difficulty with vision at night or in dim lighting. Answers A, C, and D are incorrect because they do not explain what is meant by a visual acuity of 20/200.