NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
A young woman is transferred to a psychiatric crisis unit with a diagnosis of a dissociative disorder. The nurse knows which of the following comments by the client is MOST indicative of this disorder?
Correct Answer: B
Rationale: Dissociative disorders involve detachment from reality, such as feeling disconnected from surroundings (depersonalization/derealization), as in choice B. Nightmares (
A) suggest PTSD, fear of dying (
C) indicates panic disorder, and checking locks (
D) points to OCD.
Question 2 of 5
A postpartum client requires teaching about breast-feeding. To prevent breast engorgement, the nurse should instruct her to:
Correct Answer: C
Rationale: Frequent breast-feeding empties the breasts and increases circulation, helping to remove fluid that may lead to engorgement. If the infant isn't ill or physically impaired and can breast-feed, the client shouldn't use an electric breast pump because this deprives the infant of optimal sucking and skin-to-skin contact with the mother. Applying warm, moist compresses stimulates the let-down reflex and causes the breasts to fill, which may lead to engorgement. A brassiere supports the breasts but doesn't prevent engorgement.
Extract:
A 42-year-old man with end-stage acquired immunodeficiency syndrome (AIDS) has frequent episodes of watery stool. He's nauseated and refuses to drink fluids. His body temperature is 102°F (38.9°C), his BP is 82/52, and his pulse is 112. He has 0.9% NS infusing at 150 ml/hour through a large-bore catheter.
Question 3 of 5
Which type of fluid is 0.9% NS?
Correct Answer: A
Rationale: 0.9% NS is isotonic, matching body fluid osmolarity.
Extract:
A 6-year-old boy with HIV and fever is being admitted to the unit.
Question 4 of 5
The nurse making the room assignment would place the child in a room with:
Correct Answer: A
Rationale: This is the safest room assignment for a child with HIV and a fever. A child with HIV should not be placed with anyone infectious (croup, diarrhea) or with a bacterial infection (glomerulonephritis) due to the fever.
Extract:
Question 5 of 5
A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, 'I do not know how to make my diet work with the kind of foods that my family eats.' What should the nurse do first to help the client determine a suitable diet for disease prevention?
Correct Answer: B
Rationale: Assessing the client's current dietary habits is the first step to tailor a culturally appropriate diet plan. Providing guidelines or information is secondary, and a high-protein diet may not be suitable. Health Promotion and Management