NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is in restraints due to violent behavior. The client states, 'I am a magician; I can get out of anything. There could be trouble now!' Which of the following actions would be most appropriate for the nurse to take?
Correct Answer: A
Rationale: The client's statement suggests a potential intent to escape restraints, posing a safety risk, so notifying staff for assistance is the priority.
Question 2 of 5
A behavior modification program is planned for an adolescent who exhibits disruptive behavior. Which action by the nurse is most consistent with a behavior modification program?
Correct Answer: B
Rationale: Positive reinforcement (extra privileges for non-disruptive behavior) aligns with behavior modification, encouraging desired actions. Punishment, reminders, or asking perceptions are less effective.
Question 3 of 5
A woman who is 32 weeks gestation comes to her physician's office. Which finding is of most concern to the office nurse?
Correct Answer: C
Rationale: Periorbital swelling at 32 weeks suggests preeclampsia, a serious condition requiring immediate evaluation. Trace glucose, 4-lb weight gain, or ankle edema are less concerning.
Question 4 of 5
The nurse is talking with a female client about collecting a clean-catch urine specimen. Which of the following information should the nurse include? Select all that apply.
Correct Answer: A,C,D
Rationale: Avoiding contamination, proper cleansing, and spreading the labia are critical for a clean-catch specimen. The lid should be placed sterile side up, and the container should be positioned midstream.
Question 5 of 5
A 4-year-old is brought to the emergency department after ingesting an unknown number of aspirin pills. The child is sniffling and crying quietly. The practical nurse anticipates initially assisting with the implementation of which treatment?
Correct Answer: A
Rationale: Activated charcoal is the initial treatment for aspirin ingestion to prevent absorption, if within 1-2 hours.