NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
The nurse is assessing a 22-month-old child who is thought to be autistic. During an interview with the nurse, the child's mother makes all of the following statements about his behavior until he was 1 year old. Which statement most strongly suggests that the child may be autistic?
Correct Answer: A
Rationale: Lack of distress when separated from the caregiver suggests impaired social attachment, a hallmark of autism, more so than feeding or motor milestones.
Question 3 of 5
A young woman who has a washing ritual has been late for breakfast each of the three days since admission. What is the most appropriate nursing intervention?
Correct Answer: C
Rationale: Allowing time for her ritual accommodates her compulsive behavior, reducing anxiety while ensuring she can eat.
Question 4 of 5
Lithium carbonate is ordered for a client with overactive behavior. The nurse should observe the client for which of these side effects?
Correct Answer: A
Rationale: Diarrhea is a common side effect of lithium, requiring monitoring to prevent dehydration or toxicity.
Question 5 of 5
The clinic nurse is assessing the 17-year-old male and observes multiple lesions on both upper arms. Some of these lesions are covered with a honey-colored crust. Based on this assessment, which skin condition should the nurse consider?
Correct Answer: B
Rationale: Honey-colored crusts are characteristic of impetigo, a bacterial skin infection.