NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is assessing the 18-year-old diagnosed with mumps. Which findings should be most concerning to the nurse?
Correct Answer: C
Rationale: Headache, stiff neck, and photophobia suggest meningitis, a serious complication of mumps requiring urgent intervention.
Question 2 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 3 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 4 of 5
The client tells the nurse that she has been having breast pain and has had several diagnostic procedures that all have been negative. Which suggestions should the nurse include when the client asks for advice on controling this breast pain? Select al that apply.
Correct Answer: C,D,E
Rationale: A. There is no evidence that placing a towel wet with primrose oil over the breasts will reduce pain. Taking evening primrose oil orally may help, but its use is controversial. B. The women should be taught to wear a support bra, not to go Without a bra. C. Reducing caffeine has been shown by some to reduce breast pain. D. B complex vitamins have been shown by some to reduce breast pain. E. Applying hot packs to the breasts for 20 minutes has been shown by some to reduce breast pain.
Question 5 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.