NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he is interested in doing so. She states, 'I am afraid the baby will be confused about who the mother is. Baby raising is for mothers, not fathers.' The nurse's initial intervention should be what focus?
Correct Answer: B
Rationale: Set time aside to get the mother to express her feelings and concerns. This facilitates understanding and resolution of her concerns.
Extract:
Which of the following activities will be appropriate on the patient who was 7 - days post above-the-knee amputation?
Question 2 of 5
Muscle exercises
Correct Answer: A
Rationale: Muscle exercises promote strength and circulation, aiding recovery post-amputation.
Extract:
While performing the history and physical examination of a patient with Parkinson's disease, the nurse should assess the patient for:
Question 3 of 5
While performing the history and physical examination of a patient with Parkinson's disease, the nurse should assess the patient for:
Correct Answer: C
Rationale: Parkinson's disease often causes a low-pitched, monotonous voice due to vocal muscle rigidity.
Extract:
When a patient is unconscious, the nurse should expect the patient to be unable to:
Question 4 of 5
When a patient is unconscious, the nurse should expect the patient to be unable to:
Correct Answer: B
Rationale: Unconscious patients cannot control elimination due to loss of voluntary muscle control.
Extract:
Question 5 of 5
A client who is 12 hour post-op becomes confused and says: 'Giant sharks are swimming across the ceiling.' Which assessment is necessary to adequately identify the source of this client's behavior?
Correct Answer: C
Rationale: Pulse oximetry. A sudden change in mental status in any post-op client should trigger a nursing intervention directed toward respiratory evaluation. Pulse oximetry would be the initial assessment. If available, arterial blood gases would be better. Acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/or hypoxemia. Clinical findings of hypoxemia include these findings which are listed in order of initial to later findings: restlessness, irritability, agitation, dyspnea, disorientation, confusion, delirium, hallucinations, and loss of consciousness.