NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A young woman was referred to the psychiatrist by her family physician because she is fearful of getting into elevators. During the course of therapy, it was discovered that her initial fear was of men and that it had changed to elevators. Which of the following mechanisms is demonstrated by this change?
Correct Answer: D
Rationale: Displacement involves shifting fear from one object (men) to a less threatening one (elevators), a common defense mechanism.
Question 2 of 5
An elderly woman is admitted to the hospital with a productive cough, progressive forgetfulness, an inability to concentrate, and disinterest in her personal hygiene. What should be of greatest priority as the nurse assesses this client?
Correct Answer: D
Rationale: A productive cough is a priority as it may indicate a respiratory infection, which can be life-threatening in the elderly, requiring immediate assessment.
Question 3 of 5
Chlorpromazine (Thorazine) is prescribed for a client. Which of the following, if observed in the client, would suggest chlorpromazine (Thorazine) toxicity?
Correct Answer: A
Rationale: Tremors are a sign of chlorpromazine toxicity, often linked to extrapyramidal symptoms like parkinsonism, requiring medical attention.
Question 4 of 5
In planning care for a client with a platelet count of 8000 and a WBC of 8000, the nurse can expect to:
Correct Answer: C
Rationale: A low platelet count (8000) increases bleeding risk, but strict hand washing is critical for infection prevention, as WBC of 8000 is normal but still warrants vigilance.
Question 5 of 5
The mother of the 13-year-old female tells the clinic nurse, "I hope that no one tries to get me to agree to have my daughter get that new vaccine that is supposed to prevent some STIs. My daughter is not and will not be having sex until she is married." What is the nurse's best response?
Correct Answer: C
Rationale: Exploring the mother's knowledge about the HPV vaccine (Gardasil) opens a dialogue to address misconceptions and provide education.