NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
A client recently lost a child due to poisoning. The client tells the nurse, 'I don't want to make any new friends right now.' This is an example of which of the following indicators of stress?
Correct Answer: C
Rationale: Avoiding new social connections reflects a sociocultural stress response, altering relationships due to grief. The other indicators involve different stress manifestations. Psychosocial Integrity
Question 2 of 5
The nurse is reinforcing teaching to a client with a hiatal hernia. Which statement by the client indicates that further teaching is needed?
Correct Answer: D
Rationale: Weight lifting can increase intra-abdominal pressure, worsening hiatal hernia symptoms, indicating a need for further teaching. Raising the bed, staying upright post-meals, and considering surgery for persistent symptoms are correct management strategies.
Question 3 of 5
Vaccines provide what type of immunity?
Correct Answer: A
Rationale: Vaccines stimulate the body to produce its own antibodies, providing active immunity. Passive immunity involves transferred antibodies, and transplacental is a type of passive immunity. Health Promotion and Maintenance
Question 4 of 5
A hospitalized child suddenly has a seizure while his family is visiting. The nurse notes whole body rigidity followed by general jerking movements. The child vomits immediately after the seizure. A priority nursing diagnosis for the child is
Correct Answer: D
Rationale: The tonic-clonic seizure appears suddenly and often leads to brief loss of consciousness. The greatest risk for the child is from airway blockage, as might follow aspiration.
Question 5 of 5
A 26-year-old woman with a history of heart disease is admitted in labor. She has been on bed rest for four months to prevent dyspnea. During labor, this client is likely to receive which of the following?
Correct Answer: D
Rationale: Epidural anesthesia minimizes cardiac stress and pain in labor for a patient with heart disease, safer than general anesthesia or Valsalva pushing.