NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
At 0800 hours the nurse assesses the 3-year-old with rubeola and finds that the child is restless, hard to calm, feverish, reporting pain, is tachycardic, and has crackles and rhonchi in the lung bases. The nurse compares the 0800-hour VS to the previously obtained VS (See VS chart). Acetaminophen was last given at 0600 hours. What should be the nurse's priority?
Correct Answer: C
Rationale: Crackles and rhonchi suggest possible pneumonia, a serious complication of rubeola. Notifying the HCP is critical for timely intervention.
Question 2 of 5
The nurse is providing information to the parents about how to obtain a test-tape specimen to determine if their child has pinworms. Place the nurse's instructions in the order that they should be completed for obtaining the specimen.
Order the Items
Source Container
Correct Answer: B,E,A,D,C
Rationale: The tape test for pinworms involves applying tape to the perianal area in the morning, storing the sample, and repeating the process to confirm diagnosis.
Question 3 of 5
Two nights after admission for alcohol withdrawal, the client runs out of her room. She is confused and disoriented and says, 'Let me out of here. Bugs are crawling all over that room.' The nurse should take which of these actions?
Correct Answer: D
Rationale: Hallucinations during alcohol withdrawal indicate delirium tremens, requiring immediate medical attention and supervision for safety.
Question 4 of 5
The client tells the nurse that she has been having breast pain and has had several diagnostic procedures that all have been negative. Which suggestions should the nurse include when the client asks for advice on controling this breast pain? Select al that apply.
Correct Answer: C,D,E
Rationale: A. There is no evidence that placing a towel wet with primrose oil over the breasts will reduce pain. Taking evening primrose oil orally may help, but its use is controversial. B. The women should be taught to wear a support bra, not to go Without a bra. C. Reducing caffeine has been shown by some to reduce breast pain. D. B complex vitamins have been shown by some to reduce breast pain. E. Applying hot packs to the breasts for 20 minutes has been shown by some to reduce breast pain.
Question 5 of 5
A woman is admitted to the detoxification unit. She admits to drinking increasingly larger amounts of alcohol for the past five years. What question is most important for the nurse to ask initially?
Correct Answer: B
Rationale: Knowing the time of the last drink is critical to anticipate the onset of withdrawal symptoms, which can be life-threatening.