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NCLEX PN Practice Test Questions

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Question 1 of 5

The nurse is caring for a client with panic disorder who is reporting palpitations and intense feelings of fear. The client is shaking and hyperventilating. Which of the following actions would be a priority for the nurse to take?

Correct Answer: D

Rationale: Staying with the client (
D) provides safety and reassurance, reducing fear and hyperventilation during a panic attack. Hallucinations (
A) are not typical, medication (
B) is secondary, and exploring triggers (
C) is appropriate after stabilization.

Question 2 of 5

The nurse should recognize that physical dependence is accompanied by what findings when alcohol consumption is first reduced or ended?

Correct Answer: B

Rationale: Withdrawal. Early withdrawal symptoms, including nausea and tremor, appear within hours of reducing alcohol intake.

Question 3 of 5

The nurse is caring for a client with hepatic encephalopathy who is receiving lactulose. Which of the following findings would indicate that the medication has been effective?

Correct Answer: A

Rationale: Lactulose is used in hepatic encephalopathy to reduce ammonia levels by promoting its excretion through the stool. Improved mental status (
A) indicates reduced ammonia toxicity, directly reflecting the medication's therapeutic effect. Looser stools (
B) and reduced abdominal distension (
C) are expected effects of lactulose but are secondary to the primary goal of ammonia reduction. Increased serum potassium (
D) is incorrect, as lactulose does not directly affect potassium levels.

Question 4 of 5

The nurse is performing rounding on clients in restraints. Which situation would require immediate intervention by the nurse?

Correct Answer: D

Rationale: A vest restraint in the high-Fowler position (
D) poses a risk of strangulation or asphyxiation due to the restraint slipping upward, requiring immediate intervention. Belt restraint in semi-Fowler (
A), mitten restraints in side-lying (
B), and wrist restraints in supine (
C) are safer positions, assuming proper application and monitoring.

Question 5 of 5

The nurse is teaching the client regarding bladder retraining. The ability to remain continent depends on the:

Correct Answer: C

Rationale: The central nervous system coordinates bladder control, integrating sensory input and voluntary control for continence. Other systems play secondary roles.

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