NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The normally healthy adolescent client has a 5-mm skin induration 72 hours after receiving a tuberculin skin test. Which conclusions should the nurse make regarding the test results?
Correct Answer: A
Rationale: A 5-mm induration is negative in healthy individuals with no TB risk factors, per CDC guidelines.
Question 2 of 5
An adult woman is admitted to the detoxification unit for alcohol withdrawal. Her husband tells the nurse that he is fed up. Either she gets treatment or he is leaving her. Two days later, the woman develops delirium tremens. At this time, which of these nursing diagnoses should be given priority in caring for this client?
Correct Answer: A
Rationale: Delirium tremens increases impulsiveness and disorientation, posing a high risk for injury, which takes priority over other diagnoses.
Question 3 of 5
The nurse is teaching a parent skin care for the child diagnosed with impetigo. Which instruction is best?
Correct Answer: D
Rationale: Daily washing with soap and water removes crusts and reduces bacterial load in impetigo, aiding healing.
Question 4 of 5
The client asks the nurse how a woman can recognize when she is ovulating. Which should be the nurse's response?
Correct Answer: A
Rationale: A. At the time of ovulation, the mucus produced by the cervix becomes more abundant and stretchy. It looks and feels like egg whites. The ability of the mucus to be stretched indicates the time of maximum fertility. B. At the time of ovulation, the basal body temperature drops slightly and then, under the influence of progesterone, increases and stays elevated until 2 to 4 days before menstruation starts. C. Home measurement of luteinizing hormone (LH) is possible with dipstick urine tests. A positive test (not negative) for LH indicates ovulation. LH causes the egg to be released from the ovary. D. At the time of ovulation, most females note an increase (not decrease) in libido.
Question 5 of 5
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?
Correct Answer: D
Rationale: Walking up the stairs with support respects her phobia, allowing participation in therapy without forcing exposure to the feared stimulus.