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NCLEX-PN

NCLEX-PN Test Bank

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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 nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Nausea and vomiting are common chemotherapy side effects due to gastrointestinal irritation and require monitoring for dehydration or malnutrition. Increased appetite (
A) and energy (
D) are unlikely, and white blood cell count (
B) typically decreases (neutropenia).

Question 3 of 5

The nurse notes that a client has received a medication by mistake. What should the nurse do?

Correct Answer: D

Rationale: Reporting to the supervisor and physician with documentation of prescribed treatment ensures proper management of a medication error without referencing the incident report in notes.

Question 4 of 5

A mother brings her two-year-old boy to the pediatrician's office. Which of the following symptoms would suggest to the nurse that the child has strabismus?

Correct Answer: C

Rationale: Strabismus is characterized by misaligned eyes, causing the brain to receive two images. Closing one eye to focus (as in choice
C) is a compensatory behavior to avoid double vision.

Choices A and B suggest refractive errors, and choice D indicates cataracts or peripheral vision issues.

Question 5 of 5

A throat culture is positive for Streptococcus. An antibiotic is prescribed. Which question is it essential for the nurse to ask the client before administering the medication?

Correct Answer: D

Rationale: Streptococcal infections are commonly treated with penicillin or related antibiotics. Asking about penicillin allergies is critical to prevent anaphylaxis. Sulfa, vitamins, or alcohol are less relevant.

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