NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse caring for a client with mania understands that the client's behavior is a way of avoiding feelings of despair. The expression of behaviors opposite to those being experienced is an example of which defense mechanism?
Correct Answer: D
Rationale: Reaction formation is the outward expression of feelings that are opposite to those experienced. Answer A refers to the development of physical symptoms in response to inner conflict, so it is incorrect. Answer B refers to the defense mechanism used by those with borderline personality disorder, so it is incorrect. Answer C is incorrect because it's the channeling of unacceptable thoughts and behaviors into socially acceptable behaviors.
Question 2 of 5
A client with a bowel resection and anastamosis returns to his room with an nasogastric tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly?
Correct Answer: A
Rationale: A soft abdomen indicates that the nasogastric tube is effectively decompressing the bowel by removing air and fluid.
Question 3 of 5
Which approach is a priority for the nurse who works with clients from many different cultures?
Correct Answer: D
Rationale: The nurse must discover personal attitudes, prejudices and biases specific to different cultures. Awareness of these will prevent negative consequences for interactions with clients and families across cultures.
Question 4 of 5
A client with leukemia is receiving oral prednisolone (Prednisone). An expected side effect of the prolonged use of prednisolone is:
Correct Answer: C
Rationale: Prolonged use of prednisolone, a corticosteroid, causes hirsutism (excessive hair growth) due to hormonal effects. Weight gain, not loss , and increased appetite, not decreased , are typical. Integumentary bronzing is unrelated.
Extract:
Nitroglycerin SL is prescribed for anginal pain.
Question 5 of 5
When teaching how to use nitroglycerin, the nurse tells the client to place 1 tablet under the tongue when pain occurs and to repeat the dose in 5 minutes if pain persists. The nurse should also tell the client to
Correct Answer: D
Rationale: Anginal pain, which can be anticipated during certain activities, may be prevented by dilating the coronary arteries immediately before engaging in activity, and an additional tablet post-attack can prevent recurrence.