NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A patient with post-traumatic stress disorder (PTSD) is experiencing flashbacks. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: A safe, calm environment reduces flashback intensity and promotes grounding. Avoiding discussion delays therapy, trigger exposure requires controlled settings, and isolation worsens symptoms.
Question 2 of 5
The client's mother contacts the clinic regarding medication administration stating, 'My daughter can't swallow this capsule. It's too large.' Investigation reveals that the medication is a capsule marked SR. The nurse should instruct the mother to:
Correct Answer: C
Rationale: SR (sustained release) capsules cannot be opened or crushed, as this alters their release mechanism. The pharmacist should be contacted for an alternative formulation.
Question 3 of 5
A client asks the nurse, 'Do you think I should leave my husband?' The nurse responds, 'You aren't sure if you should leave your husband?' The nurse is using which therapeutic technique?
Correct Answer: C
Rationale: Reflecting is correct because the nurse is referring feelings back to the client to explore. When restating, the nurse simply repeats what the client said. Reframing is offering a new way to look at a situation. The nurse's response is specific; it isn't offering a general lead.
Question 4 of 5
The nurse must irrigate a gaping abdominal incision with sterile normal saline, using a piston syringe. How should the nurse proceed?
Correct Answer: A
Rationale:
To wash away tissue debris and drainage effectively, the nurse should irrigate the wound until the solution becomes clear or all of the solution has been used. After the irrigation, the nurse should dry the area around the wound; moistening it promotes microorganism growth and skin irritation. When the area is dry, the nurse should apply a sterile dressing, rather than a wet-to-dry dressing. The nurse always should instill the irrigating solution gently; rapid or forceful instillation can damage tissues.
Question 5 of 5
The nurse is caring for an adult male who is diagnosed with probable appendicitis. Which assessment finding is most consistent with the diagnosis?
Correct Answer: C
Rationale: Nausea and vomiting are typically seen in persons who have appendicitis. The pain of appendicitis is in the right lower quadrant, not the right upper quadrant. The white blood cell count is elevated in the person with appendicitis. The temperature of a person with appendicitis is likely to be a low-grade fever, not a high fever.