NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
At the time of a retinal detachment, the client will most likely experience which effects? Select all that apply.
Correct Answer: A,F
Rationale: Retinal detachment causes flashes of light due to retinal traction and wavy vision (floaters or curtain-like vision) due to retinal separation. Severe pain or inability to see light is not typical.
Question 2 of 5
A nurse massages the uterus of a postpartum client. Which assessment finding best indicates that the intended effect of this nursing action has been achieved?
Correct Answer: B
Rationale: Uterine massage prevents postpartum hemorrhage by promoting uterine firmness (contraction), indicating effective action.
Question 3 of 5
The nurse is caring for the client who is 24 hours post-TURP and is having painful bladder spasms. Which intervention should the nurse plan to implement?
Correct Answer: B
Rationale: A. Opioid medications will decrease the pain sensations but will not decrease the muscle spasms. B. The belladonna and opium suppository will inhibit smooth muscle contraction and decrease bladder spasms; thus, it will also reduce pain. C. Ambulation will not decrease the discomfort. D. Heat, rather than cold, is the recommended nonphannacological treatment for bladder spasms.
Question 4 of 5
If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?
Correct Answer: A
Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.
Question 5 of 5
The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: A. Being diagnosed with an STI can cause emotional distress. This response acknowledges the client's reaction and provides the opportunity to clarify the statement's meaning. B. Although gonorrhea is reportable, this response is a closed statement and does not allow the opportunity for the client to express feelings. C. The nurse is making an assumption about the client's spouse. D. Although this response does acknowledge the client's reaction, the last portion becomes judgmental and places the emphasis on the nurse's feelings.