NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A homeless woman is admitted to the hospital. When she is admitted, she is asked to keep her possessions in a locker that is in her room. She insists on removing several articles to carry around with her. Following nursing interventions, she continues to carry most of her possessions around with her. The nurse should make which of these interpretations of this behavior?
Correct Answer: B
Rationale: Carrying possessions helps maintain a sense of identity and security, critical for someone who has lost stability.
Question 2 of 5
The client tells the nurse that she is considering breast reduction but wants to know if she could breastfeed in the future after this procedure. Which response by the nurse is correct?
Correct Answer: B
Rationale: A. Breast reduction has the potential to negatively affect lactation (breastfeeding) if large amounts of breast tissue are removed. B. Lactation can usually be accomplished if the nipples are left connected to breast tissue. C. The amount of breast tissue removed will determine whether or not lactation is possible. D. The nipple structure is not changed with breast reduction; however, some surgeries may necessitate relocation of the nipple.
Question 3 of 5
The nurse in a retirement home has noticed that Mr. A. and Ms. C. have been holding hands frequently. One day, the nurse enters Mr. A.'s room and finds Mr. A. and Ms. C. having sexual intercourse. Both residents are alert and oriented. What is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Both residents are alert and oriented, indicating consensual activity; leaving and closing the door respects their privacy and autonomy.
Question 4 of 5
The nurse is caring for an elderly woman admitted with chronic organic brain disease. When her daughter visits, she asks, 'Are you my maid?' How should the nurse describe the client's behavior?
Correct Answer: B
Rationale: Mistaking her daughter for a maid indicates disorientation, a common symptom of chronic organic brain disease, such as dementia.
Question 5 of 5
During a home visit to the adolescent just diagnosed with hepatitis A, the nurse provides education to the client and family to prevent the spread of the disease. Which information should the nurse provide? Select all that apply.
Correct Answer: A,D
Rationale: Hepatitis A spreads via the fecal-oral route. Hand washing and cleaning the toilet seat reduce transmission risk.