NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A geriatric client with Alzheimer's disease has been living with his grown child's family for the last 6 months. He wanders at night and needs help with activities of daily living. Which statement by his child suggests that the family is successfully adjusting to this living arrangement?
Correct Answer: D
Rationale: This statement demonstrates a realistic understanding of the client's disorder and effective family coping with the challenges it presents. Options 1 and 2 indicate that the family is having difficulty adjusting. Option 3 suggests that the family is in denial or has an unrealistic view of the prognosis for a client with Alzheimer's disease.
Question 2 of 5
An elderly client with peripheral vascular disease has been using a heating pad. The first sign of thermal injury related to the use of a heating pad or a hot compress is:
Correct Answer: B
Rationale: Redness is the earliest sign of thermal injury due to vasodilation and inflammation. Swelling, blanching, and blisters appear later.
Extract:
Which is a characteristic of heart rate in atrial fibrillation (AF)?
Question 3 of 5
Which is a characteristic of heart rate in atrial fibrillation (AF)?
Correct Answer: A
Rationale: Atrial fibrillation causes an irregular ventricular rhythm due to chaotic atrial activity.
Extract:
Question 4 of 5
A client with newly diagnosed breast cancer asks the nurse, 'Why me? I've always been a good person. What have I done to deserve this?' Which response by the nurse would be most therapeutic?
Correct Answer: D
Rationale: Listening, responding quickly, and providing support promote therapeutic communication. Offering to talk about the client's feelings validates those feelings and allows the client to express them. Options 1 and 2 ignore the client's feelings. Option 3 identifies the client's feelings but doesn't follow through by exploring them.
Question 5 of 5
A 15-month-old child with Hirschsprung's disease comes for a checkup. The mother reports all of the following. Which indicates a need for more instruction?
Correct Answer: A
Rationale: Limiting physical activity is unnecessary and may hinder development in Hirschsprung's disease; enemas, low-residue diet, and stool softeners are appropriate for managing constipation.