NCLEX Questions, Free PN NCLEX Practice Questions Questions,

Extract:

Question 1 of 5

In a client who's predisposed to bipolar disorder, a bipolar episode might be triggered by:

Correct Answer: A

Rationale: Hypothyroidism might trigger a bipolar episode in a client predisposed to bipolar disorder. Episodes aren't known to be triggered by hyperglycemia, hypertension, or antiseizure medications.

Question 2 of 5

A 17-year-old female was raped by a young man in her neighborhood. She is in the Emergency Department for evaluation and tests. After the procedure is completed, a rape crisis counselor (nurse specialist) talks to the client in a conference room regarding the rape. Implementing counseling by the nurse specialist for the raped victim represents:

A. assessment. B. crisis intervention. C. empathetic concern. D. unwarranted intrusion.

Correct Answer: B

Rationale: Counseling by a rape crisis nurse specialist is a form of crisis intervention, providing immediate support to address the trauma. It is not merely assessment, empathy, or intrusion. Coordinated Care

Extract:

A patient who sustained massive internal injuries in a car crash becomes hypotensive and develops acute renal failure.

Question 3 of 5

Which acid-base imbalance is he most likely to experience?

A. Respiratory acidosis B. Metabolic acidosis C. Respiratory alkalosis D. Metabolic alkalosis

Correct Answer: B

Rationale: Renal failure causes metabolic acidosis due to impaired acid excretion.

Extract:

Question 4 of 5

The nurse is caring for a 10-year-old child who has classic hemophilia. He is admitted with a swollen right knee that is very painful. The nurse should plan to include which of the following as a priority in the care of this child upon admission?

A. Range-of-motion exercises to maintain joint mobility B. Ambulation at least three times a day to prevent immobility complications C. A bed cradle to reduce pain D. Offer 250 mL of fluid every hour to prevent hemarthrosis

Correct Answer: C

Rationale: A bed cradle keeps bedding off the painful, swollen knee (hemarthrosis), reducing discomfort, a priority in acute hemophilia management.

Extract:

The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:

Question 5 of 5

The nurse understands that an acute attack of pancreatitis can be precipitated by heavy drinking because:

A. Alcohol promoted the formation of calculi in the cystic duct. B. The pancreas is stimulated to secrete more insulin than it can immediately produce. C. The alcohol alters the composition of enzymes so they are capable of damaging the pancreas. D. Alcohol increases enzyme secretion and pancreatic duct pressure and causes backflow of enzymes into the pancreas.

Correct Answer: D

Rationale: Alcohol causes enzyme backflow, leading to pancreatic autodigestion.