NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The multidisciplinary team decides to implement behavior modification with a client. Which of the following nursing actions is of primary importance during this time?
Correct Answer: A
Rationale:
To implement a behavior modification plan successfully, all staff members need to be included in program development, and time must be allowed for discussion of concerns from each nursing staff member; consistency and follow-through is important to prevent or diminish the level of manipulation by the staff or client during implementation of this program. Ensuring staff compliance promotes a unified approach, which is critical for the plan’s effectiveness.
Question 2 of 5
The nurse has taken the vital signs of a 95-year-old client: oral temperature = 98.6°F; pulse = 84 with a regular irregularity; respirations = 18; blood pressure = 140/86. Which nursing assessment(s) should be done first to obtain more data?
Correct Answer: A
Rationale: A regular irregularity in pulse suggests an arrhythmia, requiring an apical pulse for one minute to confirm and assess severity.
Extract:
Mrs. Byron rushes into the ER carrying 2-year-old Amanda in her arms. She thrusts a half-empty bottle of aspirin at the nurse and states that he saw Amanda eating them just 30 minutes earlier. After confirming that Amanda had eaten at least six tablets of aspirin
Question 3 of 5
The nurse should
Correct Answer: B
Rationale: Gastric lavage is the priority to remove aspirin from the stomach, preventing further absorption.
Extract:
Question 4 of 5
When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse's actions during this intervention?
Correct Answer: C
Rationale: The need for restraints is based on the patient’s behavior and safety risk, not their voluntary/involuntary status. Institutional policies (
A), competence (B, requiring guardian consent if incompetent), and the care plan (D, ensuring least restrictive measures) all guide restraint use.
Extract:
The patient with pancreatitis may exhibit Cullen's sign on the physical examination.
Question 5 of 5
Which of the following symptoms best describes Cullen's sign?
Correct Answer: D
Rationale: Cullen's sign is periumbilical bluish discoloration, indicating intra-abdominal bleeding.