NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Chlorpromazine hydrochloride (Thorazine) is prescribed for a young adult with schizophrenia. For three days, the chlorpromazine (Thorazine) is to be administered intramuscularly. Before administering chlorpromazine (Thorazine) intramuscularly to the client, the nurse should make which of these assessments?
Correct Answer: A
Rationale: Chlorpromazine can cause orthostatic hypotension, so checking blood pressure before intramuscular administration ensures safety.
Question 2 of 5
The nurse is assessing a 22-month-old child who is thought to be autistic. During an interview with the nurse, the child's mother makes all of the following statements about his behavior until he was 1 year old. Which statement most strongly suggests that the child may be autistic?
Correct Answer: A
Rationale: Lack of distress when separated from the caregiver suggests impaired social attachment, a hallmark of autism, more so than feeding or motor milestones.
Question 3 of 5
The nurse is teaching a client with a WBC of 1400. Which statement made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: A low WBC (1400) indicates high infection risk; avoiding crowded places reduces exposure to pathogens, showing understanding of infection precautions.
Question 4 of 5
A 75-year-old man is brought to the auditory clinic by his son, who tells the nurse that his father is having trouble hearing and seems to be a little depressed. The man says, 'There's no point in getting a hearing aid. I don't have much time left and didn't use the time I had very good anyway.' The nurse recognizes that this behavior indicates that the client might be:
Correct Answer: D
Rationale: The client's statement reflects a sense of regret and despair about his life, consistent with Erikson's stage of integrity versus despair, common in older adults evaluating their life's meaning.
Question 5 of 5
A woman who has had surgery for colon cancer asks the nurse why the doctor has her come back for a blood test called CEA. What is the best response for the nurse to make?
Correct Answer: B
Rationale: CEA (carcinoembryonic antigen) is a tumor marker; low levels post-surgery suggest no recurrence of colon cancer, explaining the test's purpose.