NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client with paranoid personality disorder monopolizes group activities with complaints that the staff is out to get him. The nurse should:
Correct Answer: D
Rationale: One of the most therapeutic actions the nurse can take with the paranoid client is to spend time with him but not challenge his delusions. Answer A would challenge his delusions and make him more convinced that he is right, so it is incorrect. Answers B and C would isolate the client and increase his paranoid thinking, so they're incorrect.
Extract:
Which of the following symptoms listed below would indicate laryngeal nerve injury following thyroidectomy?
Question 2 of 5
Hoarseness.
Correct Answer: A
Rationale: Hoarseness is a sign of laryngeal nerve damage, which can occur during thyroid surgery.
Extract:
One of the following is not a symptom of the patient with right sided heart failure:
Question 3 of 5
Weight gain
Correct Answer: C
Rationale: Right-sided heart failure causes jugular vein distension, not flattened neck veins.
Extract:
The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:
Question 4 of 5
The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:
Correct Answer: C
Rationale: Obstructive jaundice causes dark urine, clay-colored stools, and itchy skin due to bilirubin buildup.
Extract:
Question 5 of 5
A client is seen in clinic and is diagnosed as having pyelonephritis. What is most likely to be in the nursing history?
Correct Answer: B
Rationale: Pyelonephritis often ascends from untreated cystitis, a lower urinary tract infection. Pharyngitis, urolithiasis, or uric acid diet are not primary risk factors.