NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:
Correct Answer: C
Rationale: Irregular menses in a middle-aged woman suggests perimenopause, a transitional phase with hormonal changes lasting about five years. Menopause is the permanent cessation of menses, and postmenopause follows it. Health Promotion and Maintenance
Question 2 of 5
The mother of a 3-year-old is complaining that her son still throws temper tantrums when he doesn't get his way. How should the nurse advise the mother to respond?
Correct Answer: A
Rationale: This child is in Erikson's developmental stage of initiative versus guilt. Guilt develops when the child is made to feel bad about his behavior. Ignoring the negative behavior shows the child that he'll gain nothing through negative behavior such as temper tantrums. Promising the child a new toy or giving in to his demands will reinforce his negative behavior by rewarding his tantrums. Mimicking the child will make him feel guilty.
Question 3 of 5
A 9-year old is admitted with suspected rheumatic fever. Which finding is suggestive of Sydenham's chorea?
Correct Answer: A
Rationale: Sydenham's chorea, a manifestation—of rheumatic fever, causes irregular movements and facial grimacing. Other options describe rheumatoid arthritis or other conditions.
Extract:
Valerie, 37 years old, enters the hospital with symptoms of Addison's disease. She relates that she was taking cortisone pill for her contact dermatitis, but they bothered her stomach so she quit taking them. On admission Valerie's vital signs are: BP was 80/60; HR 115; RR 24. Laboratory results include a sodium level 128 mEq/L; potassium 5.5 mEq/L.
Question 4 of 5
Hypotension in Addison's disease involves a disturbance in the production of
Correct Answer: D
Rationale: Mineralcorticoids such as aldosterone cause the kidneys to retain sodium ions. With sodium, water is also retained, elevating blood pressure. Absence of this hormone causes hypotension.
Extract:
Michael has congenital Hirschprung disease. Chronic constipation has been a major problem with the patient.
Question 5 of 5
Important finding would include
Correct Answer: C
Rationale: Ribbon-like stools are characteristic of Hirschprung disease due to narrowed colon segments.