NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
During a routine examination, the nurse notes that the client seems unusually anxious. Anxiety can affect the genitourinary system by:
Correct Answer: D
Rationale: Anxiety may stimulate or hinder micturition. Its most noticeable effect is to cause frequent voiding and urinary urgency. However, when anxiety leads to generalized muscle tension, it may hinder urination because the perineal muscles must relax to complete micturition. Anxiety doesn't slow the glomerular filtration rate, increase sodium resorption, or decrease potassium excretion.
Question 2 of 5
The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.
Correct Answer: A,C
Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.
Extract:
In addition to the relief of pain, the nurse should direct the care for a patient with sickle cell crisis toward:
Question 3 of 5
In addition to the relief of pain, the nurse should direct the care for a patient with sickle cell crisis toward:
Correct Answer: B
Rationale: Oxygenation and hydration prevent further sickling and promote tissue perfusion.
Extract:
Question 4 of 5
A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
Correct Answer: D
Rationale: Subdural hematoma and cerebral edema initially cause a decreased level of consciousness (e.g., confusion, stupor) due to increased intracranial pressure (ICP). Unequal pupils (
A), decerebrate posturing (
B), and seizures (
C) are later signs of severe ICP or brainstem damage.
Extract:
A 55-year-old male patient was admitted with a diagnosis of BPH (benign prostatic hypertrophy).
Question 5 of 5
Which of the following herbal medications, when asked by the patient, is appropriate alternative treatment?
Correct Answer: C
Rationale: Saw palmetto is commonly used to alleviate BPH symptoms by reducing prostate inflammation.