NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A woman is admitted to the hospital because of recent overactive behavior. She enters the dining room for lunch after everyone is seated and eating. She runs around telling everyone that she has just been invited to speak at an important political meeting. She then sits down and starts to eat. After taking a few bites, she gets up and walks quickly out of the dining room. What initial action should the nurse take to meet the client's nutritional needs?
Correct Answer: C
Rationale: Sitting with her provides supervision and encouragement, addressing her distractibility to ensure adequate nutrition.
Question 2 of 5
The HCP writes orders for the client who is 24 hours postvulvectomy. Which order should the nurse question?
Correct Answer: B
Rationale: A. The perineal wound is cleansed with saline, or the client is given sitz baths for cleansing to promote healing and prevent infection. B. A high Fowler's position places pressure on the perineal area and will increase discomfort. The client should be placed in a low Fowler's position to decrease tension on the suture line and promote comfort. C. A low-residue diet prevents straining at stool and wound contamination. D. Antiembolic stockings increase venous return to decrease the risk of DVT and to assist in the development of collateral pathways for lymph drainage.
Question 3 of 5
A 21-year-old client starts crying during a clinic visit and says to the nurse, "I found a lump in my breast last night; I'm scared I might have cancer!" Which fact should the nurse consider when formulating a response to the client?
Correct Answer: C
Rationale: A. Breast cancer is diagnosed most commonly in women older than 50 years. B. A nondiscrete possible mass or thickening has a lower (not higher) index of suspicion for breast cancer. C. Fibroadenomas are the most common benign breast neoplasm and most often occur in women younger than 25 years. D. Mastitis is a bacterial infection of the breast tissue and is not contagious, and therefore it would not be spread by dormitory living.
Question 4 of 5
A 45-year-old woman tells the nurse that she is having difficulty reading the newspaper. She states that she holds it away from her but still cannot see it. What is the best response for the nurse to make?
Correct Answer: C
Rationale: Difficulty reading at age 45 suggests presbyopia, a common age-related vision change, best addressed by an eye doctor for accurate prescription glasses.
Question 5 of 5
Which nursing action would help to reduce stress and to aid an obsessive-compulsive client in using a less maladaptive means of handling stress?
Correct Answer: D
Rationale: Offering activities with achievable success builds confidence, reducing reliance on compulsive rituals to manage stress.