NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client with a history of bipolar disorder is admitted to the psychiatric unit during a manic episode. Which of the following interventions would be MOST appropriate for the nurse to include in the client's plan of care?
Correct Answer: B
Rationale: During a manic episode, a structured environment with limited stimulation reduces triggers for escalation and promotes safety. Group therapy (
A) may overwhelm, relaxation techniques (
C) are better for calmer states, and unrestricted decision-making (
D) can exacerbate impulsivity.
Question 2 of 5
The nurse is caring for a client with a history of seizures who is prescribed phenytoin (Dilantin). Which of the following side effects should the nurse monitor for?
Correct Answer: B
Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. Weight gain (
A), hypoglycemia (
C), and hair loss (
D) are not typical side effects of phenytoin.
Question 3 of 5
A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he is interested in doing so. She states, 'I am afraid the baby will be confused about who the mother is. Baby raising is for mothers, not fathers.' The nurse's initial intervention should be what focus?
Correct Answer: B
Rationale: Set time aside to get the mother to express her feelings and concerns. This facilitates understanding and resolution of her concerns.
Extract:
Michael has congenital Hirschprung disease. Chronic constipation has been a major problem with the patient.
Question 4 of 5
Important finding would include
Correct Answer: C
Rationale: Ribbon-like stools are characteristic of Hirschprung disease due to narrowed colon segments.
Extract:
Question 5 of 5
The nurse is caring for an adult who had abdominal surgery yesterday. When the nurse encourages the client to take some deep breaths and cough, the client tells the nurse, 'It hurts when I cough. I just can't do it.' What is the nurse's best response?
Correct Answer: C
Rationale: Splinting the incision with a pillow reduces pain during coughing, promoting effective lung expansion to prevent pneumonia.