NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A young woman is admitted for the first time with a diagnosis of catatonic schizophrenia and is receiving chlorpromazine (Thorazine) daily. She is to go home for a weekend pass. What is the most important instruction to give her relative to her medications?
Correct Answer: A
Rationale: Chlorpromazine causes photosensitivity and interacts dangerously with alcohol, necessitating sunscreen use and alcohol avoidance.
Question 2 of 5
The nurse can expect a client with a platelet count of 8000 and a WBC count of 8000 to be placed:
Correct Answer: C
Rationale: A platelet count of 8000 indicates a high risk of bleeding, necessitating bleeding precautions to prevent hemorrhage.
Question 3 of 5
Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?
Correct Answer: D
Rationale: Acknowledging her sadness and assessing for suicidal ideation addresses her emotional state and ensures safety, given her despondency.
Question 4 of 5
An adult man is being treated for depression and has been taking amitriptyline (Elavil) for three days. His wife says to the nurse, 'I don't think the medicine is doing anything for him. He is still depressed.' What is the best response for the nurse to make?
Correct Answer: C
Rationale: Amitriptyline requires 2-3 weeks to reach therapeutic levels, so no significant improvement is expected after only three days.
Question 5 of 5
The nurse is teaching a client with a WBC of 1400. Which statement made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: A low WBC (1400) indicates high infection risk; avoiding crowded places reduces exposure to pathogens, showing understanding of infection precautions.