NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The daughter of a 78-year-old woman asks the nurse why her mother is giving away some of her belongings to her children and grandchildren. What should the nurse include when responding?
Correct Answer: B
Rationale: Giving away belongings reflects preparation for death, a normal developmental task in older adults achieving ego integrity. Generosity, distrust, or suicide are less likely.
Question 2 of 5
After successful alcohol detoxification, a client remarked to a friend, 'I've tried to stop drinking but I just can't. I can't even work without having a drink.' The client's belief that he needs alcohol indicates his dependence is primarily
Correct Answer: A
Rationale: With psychological dependence, it is the client's thoughts and attitude toward alcohol that produce craving and compulsive use.
Question 3 of 5
A client is admitted with a distended bladder due to the inability to void. The nurse obtains an order to catheterize the client, and is aware that gradual emptying is preferred over complete emptying because it reduces the
Correct Answer: B
Rationale: Potential for shock. Complete, rapid emptying can cause shock and hypotension due to sudden changes in the abdominal cavity.
Question 4 of 5
The pediatric nurse is reinforcing education about medication administration to the parents of a 4-year-old client. Which statements made by the parents demonstrate correct understanding? Select all that apply.
Correct Answer: C
Rationale: Using an oral syringe ensures accurate dosing. Mixing with food, redosing after vomiting, involving the child in preparation, or punishing refusal are inappropriate.
Question 5 of 5
The nurse is caring for a 2 month-old infant with a congenital heart defect. Which of the following is a priority nursing action?
Correct Answer: A
Rationale: Infants with congenital heart defects are at increased risk for developing congestive heart failure. Infants with congestive heart failure have an increased metabolic rate and require additional calories to grow. At the same time, however, rest and conservation of energy for eating is important. Feedings should be smaller and every 3 hours rather than the usual 4 hour schedule.