NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A nursing diagnosis of 'ineffective airway clearance related to pain' is identified for a client who had open abdominal surgery 2 days ago. Which intervention should the nurse implement first?
Correct Answer: A
Rationale: Pain control is the priority to enable effective coughing and airway clearance.
Question 2 of 5
A nurse is preparing for a medical relief trip to West Africa and is concerned about a disruption in circadian rhythm from traveling across several time zones. Which supplement might help synchronize the body to environmental time?
Correct Answer: C
Rationale: Melatonin helps regulate sleep-wake cycles and can mitigate jet lag.
Question 3 of 5
The daughter of an 80-year-old client recently diagnosed with Alzheimer disease (AD) says to the nurse, 'I guess I can anticipate getting this disease myself at some point.' What is an appropriate response by the nurse?
Correct Answer: A
Rationale: Regular exercise is associated with a reduced risk of Alzheimer disease. Family history is a risk factor, and aluminum is not a proven cause.
Question 4 of 5
The nurse is caring for a 75 year old client in congestive heart failure. Which finding suggests that digitalis levels should be reviewed?
Correct Answer: A
Rationale: Extreme fatigue. Extreme fatigue and weakness are common, early signs of digitalis toxicity, which would be confirmed by a high blood serum level of digitalis.
Question 5 of 5
In the past 12-month period, a man has been arrested twice for driving while intoxicated. He is able to perform his activities of daily living without the use of alcohol and restricts his drinking to weekends. This client meets the criteria for which of the following?
Correct Answer: C
Rationale: Repeated legal issues from weekend drinking indicate substance abuse, as it causes significant impairment without daily dependence.