NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Fluid shift occurs immediately following the onset of burn.
Question 1 of 5
Nursing assessment indicating fluid shift include:
Correct Answer: B
Rationale: Delayed capillary refill is evident due to lack of volume and oxygen, indicating fluid shift post-burn.
Extract:
Question 2 of 5
A client with diverticulitis has received nutritional discharge instructions for a high-fiber diet. Which menu selection by the client would reinforce that the teaching was effective?
Correct Answer: C
Rationale: This diet has the highest amount of fiber. Answers A, B, and D have low amounts of fiber, so they're incorrect.
Extract:
Ipsilateral pupil:
Question 3 of 5
Ipsilateral pupil:
Correct Answer: A
Rationale: Ipsilateral pupil dilation often occurs in conditions like brain herniation affecting the same side.
Extract:
Question 4 of 5
The nurse caring for a client with mania understands that the client's behavior is a way of avoiding feelings of despair. The expression of behaviors opposite to those being experienced is an example of which defense mechanism?
Correct Answer: D
Rationale: Reaction formation is the outward expression of feelings that are opposite to those experienced. Answer A refers to the development of physical symptoms in response to inner conflict, so it is incorrect. Answer B refers to the defense mechanism used by those with borderline personality disorder, so it is incorrect. Answer C is incorrect because it's the channeling of unacceptable thoughts and behaviors into socially acceptable behaviors.
Question 5 of 5
The mother of a 2-year-old child tells the nurse she is embarrassed when her child plays with other children because he does not share his toys or even interact with the other children. The nurse's response to the mother is based on the knowledge that a 2-year-old usually engages in which type of play?
Correct Answer: B
Rationale: At 2 years, children typically engage in parallel play, playing alongside but not interactively with others, a normal developmental stage that does not involve sharing.