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Questions 227

NCLEX-PN

NCLEX-PN Test Bank

Free NCLEX-PN Practice Questions Questions

Extract:


Question 1 of 5

Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:

Correct Answer: C

Rationale: Ashley's symptoms, including confusion, dizziness, nausea, rapid pulse, and hyperventilation, indicate severe anxiety, characterized by somatic symptoms and impaired problem-solving. Mild or moderate anxiety would present with less intense symptoms, and panic would involve loss of reality. Psychosocial Integrity

Question 2 of 5

The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Stopping antihypertensive medication when blood pressure normalizes risks rebound hypertension, indicating a need for further teaching. Daily timing (
A), reporting side effects (
C), and continued use (
D) reflect proper understanding.

Extract:

The family of a terminally-ill client asks the nurse to help them end the suffering of her loved ones.


Question 3 of 5

Which of the following would be the most appropriate response by the nurse?

Correct Answer: B

Rationale: Euthanasia violates nursing ethics, and this response clearly communicates the ethical stance.

Extract:


Question 4 of 5

The nurse is talking with a client. The client abruptly says to the nurse, 'The moon is full. Astronauts walk on the moon. Walking is a good health habit.' The client's remarks most likely indicate

Correct Answer: C

Rationale: Loose associations. The client's statements are loosely connected by related words, indicating disorganized thought.

Extract:

After the patient has refused the medication, the next step taken by the nurse will be:


Question 5 of 5

Document the patient's refusal.

Correct Answer: B

Rationale: Exploring the reason for refusal helps address concerns and promote adherence.

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