NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
Medication bound to protein can have which of the following effects?
Correct Answer: C
Rationale: Protein-bound drugs are less available for receptor binding, reducing their therapeutic effect until unbound. This does not enhance availability, speed distribution, or increase metabolism directly. Pharmacological Therapies
Question 2 of 5
Vaccines provide what type of immunity?
Correct Answer: A
Rationale: Vaccines stimulate the body to produce its own antibodies, providing active immunity. Passive immunity involves transferred antibodies, and transplacental is a type of passive immunity. Health Promotion and Maintenance
Question 3 of 5
The nurse is talking with a client with obsessive-compulsive disorder. When the client performs ritualistic behaviors, the nurse should recognize that the client
Correct Answer: C
Rationale: Ritualistic behaviors in OCD are driven by an intense need to control the environment or reduce anxiety through repetitive actions. They are not related to hearing voices or controlling anger, which are more associated with other disorders.
Question 4 of 5
The nurse is caring for a client who is scheduled for surgery in 2 hours and is reporting anxiety and shortness of breath. The client has a heart rate of 110/min and respiratory rate of 24/min. Which of the following actions would be a priority for the nurse to take?
Correct Answer: B
Rationale: Placing the client in Fowler or high Fowler position improves lung expansion and oxygenation, addressing shortness of breath and tachycardia caused by anxiety or potential respiratory distress. Lorazepam requires a prescription, bronchodilators are not indicated without wheezing, and reassurance alone does not address physical symptoms.
Question 5 of 5
A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, 'There must be some mistake in the diagnosis.' The nurse determines that the client is demonstrating which of the following?
Correct Answer: A
Rationale: Denial, per Kübler-Ross's