NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The HCP writes orders for the client who is 24 hours postvulvectomy. Which order should the nurse question?
Correct Answer: B
Rationale: A. The perineal wound is cleansed with saline, or the client is given sitz baths for cleansing to promote healing and prevent infection. B. A high Fowler's position places pressure on the perineal area and will increase discomfort. The client should be placed in a low Fowler's position to decrease tension on the suture line and promote comfort. C. A low-residue diet prevents straining at stool and wound contamination. D. Antiembolic stockings increase venous return to decrease the risk of DVT and to assist in the development of collateral pathways for lymph drainage.
Question 2 of 5
A 40-year-old man is admitted to the psychiatric unit for treatment of anxiety neurosis. For several weeks, he has had increasingly frequent periods of palpitations, sweating, chest pain, and choking. His nursing diagnosis is 'severe anxiety, stressor unidentified.' Which of these measures is appropriate during the client's attacks?
Correct Answer: A
Rationale: Providing support and safety during anxiety attacks helps reduce distress and ensures the client feels secure.
Question 3 of 5
A young woman has admitted herself to the psychiatric unit for treatment of Valium addiction. A schedule of drug withdrawal is ordered by the doctor. Which of the following may the nurse expect to see as the Valium dose is decreased?
Correct Answer: B
Rationale: Benzodiazepine withdrawal, such as from Valium, commonly causes tremors and hyperactivity due to central nervous system excitation.
Question 4 of 5
When the nurse detects that a client is using defense mechanisms, the nurse should make which of these interpretations of the client's behavior?
Correct Answer: A
Rationale: Defense mechanisms are unconscious strategies used to cope with stress and maintain emotional balance, helping the client restore equilibrium.
Question 5 of 5
The nurse is reviewing the serum laboratory results for the 10-year-old diagnosed with chicken pox. Which value should be most concerning to the nurse? Place an X next to the value that is most concerning.
Correct Answer: B
Rationale: This question requires the nurse to identify abnormal lab values, such as elevated liver enzymes (e.g., AST/ALT) or thrombocytopenia, which could indicate complications like hepatitis or bleeding risk in chickenpox.