NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The 1-year-old with a temperature of 103°F (39.4°C) is diagnosed with roseola. Which information should the nurse provide to the parent? Select all that apply.
Correct Answer: A,D
Rationale: Roseola is characterized by a high fever followed by a rose-pink rash after the fever subsides. Hand hygiene reduces transmission. Aspirin is contraindicated due to Reye's syndrome risk, oatmeal baths are not typically needed, and isolation beyond standard precautions is unnecessary.
Question 2 of 5
In planning care for a client with a platelet count of 8000 and a WBC of 8000, the nurse can expect to:
Correct Answer: C
Rationale: A low platelet count (8000) increases bleeding risk, but strict hand washing is critical for infection prevention, as WBC of 8000 is normal but still warrants vigilance.
Question 3 of 5
The client asks the nurse how a woman can recognize when she is ovulating. Which should be the nurse's response?
Correct Answer: A
Rationale: A. At the time of ovulation, the mucus produced by the cervix becomes more abundant and stretchy. It looks and feels like egg whites. The ability of the mucus to be stretched indicates the time of maximum fertility. B. At the time of ovulation, the basal body temperature drops slightly and then, under the influence of progesterone, increases and stays elevated until 2 to 4 days before menstruation starts. C. Home measurement of luteinizing hormone (LH) is possible with dipstick urine tests. A positive test (not negative) for LH indicates ovulation. LH causes the egg to be released from the ovary. D. At the time of ovulation, most females note an increase (not decrease) in libido.
Question 4 of 5
Mr. S. is a man who has not spoken for years. He is diagnosed as having paranoid schizophrenia. One day, when Ms. J., another client, was standing facing the elevator, the man approached her from behind and reached for her as if to strangle her. What is the most appropriate action for the nurse to take at this time?
Correct Answer: D
Rationale: Getting his attention and calling for help ensures safety for all involved without escalating the situation through physical intervention.
Question 5 of 5
A 52-year-old man is admitted to the psychiatric unit. He states that he does not sleep well, has not been eating, and has no energy. He tells the admitting nurse, 'I don't think you can make me feel better. There's no use in talking to me. Leave me alone.' What is the most appropriate interpretation of his behavior?
Correct Answer: B
Rationale: His symptoms and request for isolation suggest depression, requiring the nurse's presence to ensure safety and offer support.