NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
To evaluate possible laryngeal nerve injury following a thyroidectomy, the nurse on an hourly basis should:
Question 1 of 5
Ask the patient to speak.
Correct Answer: A
Rationale: If the laryngeal nerves are injured bilaterally during surgery, the vocal cords will tighten, interfering with speech. If one cord is affected, hoarseness develops. This can be evaluated simply by having the patient speak every hour.
Extract:
A male client in the dermatologist's clinic asked the nurse for information on contraceptives. The nurse, who was aware of her limited knowledge on contraceptives, has provided contact number for information to the client.
Question 2 of 5
The nurse's action was based on the Regulatory Board's standard of practice which is:
Correct Answer: C
Rationale: Providing a contact number reflects competency by acknowledging limitations and ensuring accurate information.
Extract:
Question 3 of 5
An adult who has Bell's palsy says to the nurse, 'Will I always look this weird?' How should the nurse reply?
Correct Answer: B
Rationale: Bell's palsy often resolves completely within weeks to months, so reassuring the client of potential full recovery is accurate and supportive.
Question 4 of 5
A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:
Correct Answer: B
Rationale: The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change. Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment.
Question 5 of 5
The nurse is assessing a client with chronic renal failure receiving peritoneal dialysis. Which of the following findings would require an intervention by the nurse?
Correct Answer: C
Rationale: Cloudy drainage from the catheter site indicates peritonitis, a serious complication requiring immediate intervention (e.g., antibiotics, physician notification). Abdominal fullness (
A) and bruising (
D) are common during early exchanges, and constipation (
B) is managed with diet or stool softeners.