NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A young woman who is fearful of getting into elevators is admitted. Two days after admission, she is scheduled for group therapy sessions that meet on the sixth floor. Her room is on the second floor. The other clients and the nurse go to the sixth floor on the elevator. The client starts trembling and refuses to get on the elevator. Which action is most therapeutic for the nurse to take?
Correct Answer: D
Rationale: Walking up the stairs with support respects her phobia, allowing participation in therapy without forcing exposure to the feared stimulus.
Question 2 of 5
The 17-year-old student visits the high school nurse's office experiencing a sore throat, headache, fever of 101°F (38.3°C), malaise, and abdominal pain. How should the nurse plan to proceed?
Correct Answer: D
Rationale: These symptoms may indicate a serious infection (e.g., mononucleosis, strep throat). Sending the student home with a recommendation to see an HCP ensures proper evaluation.
Question 3 of 5
A 75-year-old woman has been widowed for 12 years. She was forced to vacate her apartment several months ago when fire destroyed the building. She has been wandering about the city, begging for money to buy food, and sleeping on park benches or in secluded areas of large buildings. She carries her personal belongings in three bundles. One day she enters the bus terminal and becomes very noisy and quarrelsome. The police are called, and she is brought to a psychiatric unit. To plan care for this woman, which of these actions should be taken first?
Correct Answer: D
Rationale: Assessing physical condition is the priority for a homeless person with potential malnutrition, exposure, or untreated conditions.
Question 4 of 5
A 15-year-old client's mother asks the nurse why the I-ICP prescribed oral contraceptives (OCPs) for treating her daughter's dysmenorrhea. Before responding to the mother, which fact about oral contraceptives should the nurse consider?
Correct Answer: D
Rationale: A. OCPs do not inhibit inflammation. B. OCPs do not increase uterine blood flow; the amount of menstrual discharge may decrease with OCP usage as a result of decreased endometrial stimulation. C. OCPs do inhibit progesterone production, but it is not progesterone that stimulates uterine contractions and pain; rather, it is prostaglandins. D. OCPs block ovulation by preventing the release of follicle stimulating hormone from the pituitary. The absence of ovulation decreases the sequential stimulation of the endometrium by estrogen and progesterone. This results in a decrease in the prostaglandin production by the endometrium and thus a decrease in pain.
Question 5 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.