NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A patient who has recently experienced a thrombotic CVA
Question 1 of 5
A patient who has recently experienced a thrombotic CVA will most likely receive which of the following treatments?
Correct Answer: C
Rationale: Heparin is used to prevent further clot formation in thrombotic CVA.
Extract:
Question 2 of 5
A 17-year-old client is admitted following a seizure. That evening, the nurse goes into the room and notes that the client has obviously been crying. The client says, 'Now that I have epilepsy, I am a freak.' What is the best initial response for the nurse to make?
Correct Answer: A
Rationale: Acknowledging the client's feelings validates their emotional distress, fostering therapeutic communication. Reassurance or minimization dismisses their concerns, hindering rapport.
Extract:
After a patient has cataract surgery, the nurse should:
Question 3 of 5
After a patient has cataract surgery, the nurse should:
Correct Answer: D
Rationale: Avoiding vigorous activities like brushing prevents increased intraocular pressure post-cataract surgery.
Extract:
A patient has an anaphylactic reaction within the 1st half hour after an IV infusion containing Ampicillin is started.
Question 4 of 5
The nurse understands that the symptoms occurring during an anaphylactic reaction are the result of:
Correct Answer: C
Rationale: Anaphylaxis causes bronchoconstriction and vasodilation, leading to respiratory distress and hypotension.
Extract:
Question 5 of 5
The nurse is caring for clients in the student health center. A client confides to the nurse that the client's boyfriend informed her that he tested positive for hepatitis B. Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: Hepatitis B is transmitted through sexual contact or parenteral routes. Assessing exposure by asking about unprotected sex is the best initial response to determine the client’s risk and guide further actions (e.g., testing, HBIG, or vaccination).
Choice A is empathetic but non-assessing, B and C assume exposure without confirmation, and D prioritizes assessment.