NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
In attempting to establish a therapeutic relationship with a child who may be autistic, the nurse should expect to encounter which of these problems?
Correct Answer: C
Rationale: Children with autism often display unusual or repetitive behaviors, which can appear bizarre, complicating the establishment of a therapeutic relationship.
Question 2 of 5
To initiate a relationship with a child who may be autistic, the nurse would probably be most effective by using which of these approaches?
Correct Answer: C
Rationale: Sitting quietly with the child respects their social sensitivities, fostering trust without overwhelming them, unlike interactive games.
Question 3 of 5
A young woman who has a washing ritual has been late for breakfast each of the three days since admission. What is the most appropriate nursing intervention?
Correct Answer: C
Rationale: Allowing time for her ritual accommodates her compulsive behavior, reducing anxiety while ensuring she can eat.
Question 4 of 5
Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?
Correct Answer: D
Rationale: Acknowledging her sadness and assessing for suicidal ideation addresses her emotional state and ensures safety, given her despondency.
Question 5 of 5
An adult client with newly diagnosed cancer says, 'I'm really afraid of dying. Who's going to take care of my children?' What is the best initial response for the nurse to make?
Correct Answer: C
Rationale: An empathetic response acknowledging the client's fear opens communication, validating emotions without dismissing concerns or making assumptions.