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Best NCLEX-PN Practice Questions Questions

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Question 1 of 5

The clinic nurse is preparing to assess the 14-year-old client who has impetigo on the hands and neck. In reviewing the client's history, the nurse would expect which predisposing factors to be associated with bacterial skin infections?

Correct Answer: B

Rationale: Diabetes mellitus and eczema increase the risk of bacterial skin infections like impetigo due to impaired skin barriers and immune responses.

Question 2 of 5

A man who is being treated for paranoia walks toward the nurse's desk and observes the nurse making a telephone call. A few minutes later, he accuses the nurse of having called the police. How should the nurse interpret his behavior?

Correct Answer: D

Rationale: Interpreting a neutral action (phone call) as personally threatening indicates ideas of reference, a common feature of paranoia.

Question 3 of 5

The adolescent client diagnosed with HIV has a CD4-positive T-lymphocyte count of 160 mcL. The nurse evaluates that interventions have been most effective when which outcome in the client's plan of care is achieved?

Correct Answer: C

Rationale: A CD4 count of 160 mcL indicates severe immunosuppression; preventing opportunistic infections is the most critical outcome.

Question 4 of 5

A homeless woman is admitted to the hospital. When she is admitted, she is asked to keep her possessions in a locker that is in her room. She insists on removing several articles to carry around with her. Following nursing interventions, she continues to carry most of her possessions around with her. The nurse should make which of these interpretations of this behavior?

Correct Answer: B

Rationale: Carrying possessions helps maintain a sense of identity and security, critical for someone who has lost stability.

Question 5 of 5

Chlorpromazine (Thorazine) is prescribed for a client. Which of the following, if observed in the client, would suggest chlorpromazine (Thorazine) toxicity?

Correct Answer: A

Rationale: Tremors are a sign of chlorpromazine toxicity, often linked to extrapyramidal symptoms like parkinsonism, requiring medical attention.

Similar Questions

During a home visit to the adolescent just diagnosed with hepatitis A, the nurse provides education to the client and family to prevent the spread of the disease. Which information should the nurse provide? Select all that apply.
A young woman who is fearful of getting into elevators is admitted. Two days after admission, she is scheduled for group therapy sessions that meet on the sixth floor. Her room is on the second floor. The other clients and the nurse go to the sixth floor on the elevator. The client starts trembling and refuses to get on the elevator. Which action is most therapeutic for the nurse to take?
An adult client with newly diagnosed cancer says, 'I'm really afraid of dying. Who's going to take care of my children?' What is the best initial response for the nurse to make?
A 64-year-old woman tells the nurse she has vaginal itching and dryness and that she has pain 'down there' at times. What should the nurse do?
Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?

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