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.
Question 2 of 5
The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?
Correct Answer: B
Rationale: The best time for a breast self-exam (BSE) is a week after a menstrual cycle, when the breasts are no longer swollen and tender due to hormone elevation.
Extract:
The nurse documents and performs which of the following when the patient refuses his medication?
Question 3 of 5
Kardex; physician.
Correct Answer: C
Rationale: Documenting in the medication record and progress notes, and informing the physician, ensures accurate communication.
Extract:
The patient with ascites has a paracentesis and 1500 ml of fluid is removed.
Question 4 of 5
Immediately following the procedure it is most important for the nurse to observe for:
Correct Answer: A
Rationale: A rapid, thready pulse indicates hypovolemia or shock post-paracentesis, a critical complication.
Extract:
Question 5 of 5
The nurse is assessing a client with a history of heart failure. Which of the following findings would indicate worsening heart failure?
Correct Answer: A
Rationale: Weight gain of 2 kg in 24 hours indicates fluid retention, a sign of worsening heart failure due to decreased cardiac output. Normal blood pressure (
B), heart rate (
C), and clear lungs (
D) do not suggest decompensation.