NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
A 78-year-old client is admitted for open reduction of a wrist fracture. That night she is found wandering in the hallway near the fire alarm. When the nurse calls the client's name, the client says, 'If you come any closer to me I'll pull this fire alarm. You're a drug addict. I saw you taking drugs out of the cabinet.'
Question 1 of 5
The best response by the nurse would be:
Correct Answer: A
Rationale: This response addresses safety calmly without escalating the situation.
Extract:
Question 2 of 5
A client being discharged from the cardiac step-down unit following a myocardial infarction (MI), is given a prescription for a beta-blocking drug. A nursing student asks the charge nurse why this drug would be used by a client who is not hypertensive. What is an appropriate response by the charge nurse?
Correct Answer: C
Rationale: One action of beta-blockers is to decrease systemic vascular resistance by dilating arterioles. This is useful for the client with coronary artery disease, and will reduce the risk of another MI or sudden death.
Question 3 of 5
A client with paranoid personality disorder monopolizes group activities with complaints that the staff is out to get him. The nurse should:
Correct Answer: D
Rationale: One of the most therapeutic actions the nurse can take with the paranoid client is to spend time with him but not challenge his delusions. Answer A would challenge his delusions and make him more convinced that he is right, so it is incorrect. Answers B and C would isolate the client and increase his paranoid thinking, so they're incorrect.
Question 4 of 5
The nurse is to obtain an apical-radial pulse on a client. Which statement is true regarding obtaining an apical-radial pulse?
Correct Answer: C
Rationale: Apical-radial pulse requires simultaneous measurement by two people to detect a pulse deficit, ensuring accuracy in conditions like atrial fibrillation.
Extract:
The nurse anticipates that one of the following medications will be given to the patient with hypothyroidism:
Question 5 of 5
IV calcium
Correct Answer: D
Rationale: Synthroid (levothyroxine) replaces thyroid hormone in hypothyroidism.