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
An adult is on long-term aspirin therapy and complains of tinnitus. Which interpretation by the nurse is accurate?
Correct Answer: D
Rationale: Tinnitus is a sign of aspirin toxicity (salicylism), indicating a minor overdose. It's not an expected effect, and GI bleed would present with other symptoms like melena.
Extract:
The nurse should observe Valerie closely for signs of infectious complications because in Addison's disease there is disturbance in
Question 3 of 5
fluid balance.
Correct Answer: D
Rationale: Because of diminished glucocorticoid production, there is a decreased inflammatory effect, increasing susceptibility to infections.
Extract:
Question 4 of 5
After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
Correct Answer: B
Rationale: Clear fluid draining from the ear suggests cerebrospinal fluid (CSF) leakage, indicating a rupture of the meninges, which poses a risk of meningitis or other complications in a head injury. This must be reported immediately. Eyelid edema (
A) and minor bleeding (
C) are less urgent, and withdrawal to pain (
D) is consistent with the initial assessment.
Question 5 of 5
An adolescent bodybuilder has been taking anabolic steroids to increase his weight and the size and definition of his muscles. Psychological effects of anabolic steroids include:
Correct Answer: B
Rationale: Anabolic steroids can cause aggression and uncontrolled rage , known as 'roid rage.' Confusion , elation , and humor are not typical effects.