NCLEX Questions, 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

A 75-year-old man is brought to the auditory clinic by his son, who tells the nurse that his father is having trouble hearing and seems to be a little depressed. The man says, 'There's no point in getting a hearing aid. I don't have much time left and didn't use the time I had very good anyway.' The nurse recognizes that this behavior indicates that the client might be:

A. actively suicidal. B. suffering bipolar depression. C. struggling with generosity versus stagnation. D. struggling with development of integrity versus despair.

Correct Answer: D

Rationale: The client's statement reflects a sense of regret and despair about his life, consistent with Erikson's stage of integrity versus despair, common in older adults evaluating their life's meaning.

Question 3 of 5

The normally healthy adolescent client has a 5-mm skin induration 72 hours after receiving a tuberculin skin test. Which conclusions should the nurse make regarding the test results?

A. This 5-mm skin induration is negative for a normally healthy individual. B. This finding indicates that active TB is present and treatment is needed. C. This result is inconclusive, and a chest x-ray is needed to detect active TB. D. The result is inaccurate; the site assessment occurred too long after the test.

Correct Answer: A

Rationale: A 5-mm induration is negative in healthy individuals with no TB risk factors, per CDC guidelines.

Question 4 of 5

A man who is severely depressed following the death of his wife sits in the dayroom for hours at a time, not speaking to anyone and showing no interest in unit activities. He does not answer when spoken to. Which action should the nurse take to help him at this time?

A. Encourage him to talk about his children B. Start playing a game in which he can participate C. Turn on the television for him to watch D. Speak to him briefly from time to time without expecting an answer

Correct Answer: D

Rationale: Brief, non-demanding interactions show presence and support, respecting his depression without forcing engagement.

Question 5 of 5

The nurse is caring for an elderly woman admitted with chronic organic brain disease. When her daughter visits, she asks, 'Are you my maid?' How should the nurse describe the client's behavior?

A. Impaired judgment B. Disorientation C. Impairment of abstract thinking D. Delusions

Correct Answer: B

Rationale: Mistaking her daughter for a maid indicates disorientation, a common symptom of chronic organic brain disease, such as dementia.