NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:
Correct Answer: D
Rationale: The nurse manager's open, engaging, and confident behavior exemplifies assertiveness, fostering collaboration. The other behaviors involve domination, manipulation, or timidity. Coordinated Care
Question 2 of 5
A client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client:
Correct Answer: B
Rationale: The client whose vision is corrected to 20/200 is by definition legally blind because he is able to see at 20 feet what the healthy eye can see at 200 feet. Answer A refers to a refractive error, which is corrected by eyeglasses or one of the laser procedures. Answer C is an inability to focus on near objects due to a loss of elasticity of the lens and is corrected by the use of bifocal eye glasses. Answer D does not apply because the client would experience difficulty with vision at night or in dim lighting. Answers A, C, and D are incorrect because they do not explain what is meant by a visual acuity of 20/200.
Question 3 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Question 4 of 5
A nurse is caring for a patient with bipolar disorder who is experiencing a depressive episode. Which of the following interventions is most appropriate?
Correct Answer: C
Rationale: Allowing rest and sleep supports recovery during a depressive episode, as energy is low. Group activities or stimulation may overwhelm, and expression should be encouraged.
Extract:
Ms. Wilson has undergone total thyroidectomy.
Question 5 of 5
Following surgery, the patient should be observed for signs and symptoms of thyroid storm. Which of the following is consistent with thyroid storm?
Correct Answer: A
Rationale: Tachycardia, such as a heart rate of 180 bpm, is one of the manifestations of thyroid storm, a life-threatening condition.