NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
An adult woman has obsessive-compulsive disorder. She continually washes her hands and misses meals because she has not completed her washing rituals. What should be in the nursing care plan for this woman?
Correct Answer: B
Rationale: Bringing meals accommodates the client's OCD rituals while ensuring nutrition, a practical approach. Interrupting, planning around rituals, or forcing choices may escalate anxiety or non-compliance.
Question 2 of 5
The nurse is providing home care to a confused client. The client's family is using a restraint to keep the client from pulling out her indwelling catheter. What should the nurse plan to include when teaching the family?
Correct Answer: B
Rationale: Checking restrained extremities hourly ensures circulation and prevents injury. Scheduled removal, supervision-based removal, or nurse-only removal are less practical or safe.
Question 3 of 5
The nurse is caring for a client with a myocardial infarction. Which finding requires the nurse's immediate action?
Correct Answer: B
Rationale: Dizzy spells. Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. Near syncope refers to lightheadedness, dizziness, temporary confusion. Such 'spells' may indicate runs of ventricular tachycardia or periods of asystole and should be reported immediately.
Question 4 of 5
A woman who has emphysema is on continuous oxygen therapy. She appears anxious and short of breath. Her husband increases the oxygen flow to 6 L/min. The nurse knows this action is most likely to:
Correct Answer: D
Rationale: Increasing oxygen flow in emphysema can suppress the hypoxic drive, risking respiratory depression, a serious concern.
Question 5 of 5
Following a classic cholecystectomy resection for multiple stones, the PACU nurse observes a serosanguinous drainage on the dressing. The most appropriate intervention is to:
Correct Answer: C
Rationale: Serosanguinous drainage is normal post-cholecystectomy; reinforcing the dressing is appropriate to manage it. Changing the dressing risks infection, and a binder may obscure assessment. Basic Care and Comfort