NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A patient with schizophrenia is experiencing auditory hallucinations. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Asking the patient to describe hallucinations builds trust, assesses severity, and guides treatment without challenging reality. Ignoring, denying, or distracting with TV does not address the patient’s experience.
Question 2 of 5
Which of these variations in the newborn results from the presence of maternal hormones?
Correct Answer: A
Rationale: Engorgement of the breasts. Breast engorgement occurs in both sexes as a result of the withdrawal of maternal hormones after birth.
Extract:
A 65-year-old man has been admitted to the hospital for spinal stenosis surgery.
Question 3 of 5
When does the discharge training and planning begin for this patient?
Correct Answer: B
Rationale: Discharge planning begins upon admission to ensure a comprehensive care plan.
Extract:
Question 4 of 5
An adult is receiving external radiation therapy. What should the nurse include in the teaching plan about care of the skin at the radiation site?
Correct Answer: D
Rationale: Avoiding washing the radiated skin prevents irritation and damage to the sensitive area. Dressings, showers, or ice may exacerbate skin breakdown.
Extract:
When changing Ms. Wilson's postoperative dressing, the nurse is careful not to introduce microorganisms into the surgical incision.
Question 5 of 5
This is an example of:
Correct Answer: C
Rationale: Intact skin is the first line of defense against entry of microorganisms. A surgical incision is a portal of entry, so a technique that requires the absence of all microorganisms (surgical asepsis) is essential.