NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of multiple sclerosis. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: A cool environment prevents symptom exacerbation in multiple sclerosis, as heat worsens neurological symptoms. High-intensity exercise (
A) may cause fatigue, muscle relaxants (
C) depend on symptoms, and fluid restriction (
D) is inappropriate.
Question 2 of 5
The nurse on the psychiatric unit is caring for several clients. Which client needs the most immediate attention?
Correct Answer: C
Rationale: Screaming and running indicate potential danger to self or others, requiring immediate intervention to ensure safety.
Extract:
Antoinette is 47-year-old woman with history of hypertension presented to ER with complain of sudden pain in her heel. Her lifestyle is sedentary and denies history of trauma or rigorous physical exertion. On admission assessment, spontaneous rupture of the Achilles tendon was diagnosed and treatment was initiated. Few weeks following her ER visit, Antoinette sought the help of a family physician for prescription of pain medication. Her physical assessment showed central obesity, thin musculature, and abdominal striae. Cushing's syndrome was suspected. Further endocrine assessment showed clinical features typical of Cushing's syndrome, which had been present for at least four years.
Question 3 of 5
The PN who performs the admission assessment on Antoinette would expect to observe which of the following?
Correct Answer: A
Rationale: Excessive hair growth in the woman's face and extremities is caused by excessive glucocorticoid hormones, a hallmark of Cushing's syndrome.
Extract:
Question 4 of 5
A client received six units of regular insulin three hours ago. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: C
Rationale: Regular insulin peaks in 2–4 hours, and the symptoms in choice C (diaphoresis and trembling) are classic signs of hypoglycemia, a potential complication at this time. Hypoglycemia requires immediate intervention, such as administering skim milk or glucose.
Choice A indicates hyperglycemia (Kussmaul respirations), and choices B and D are not specific to hypoglycemia.
Question 5 of 5
A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?
Correct Answer: C
Rationale: Self-blame. Victims often internalize blame, believing their behavior causes the abuse, which is a common misconception.