NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is caring for a dark-skinned client hospitalized with hepatitis. The nurse can best observe the presence of jaundice in the client by assessing the client's:
Correct Answer: C
Rationale: The sclera is the most reliable site to assess jaundice in dark-skinned clients, as bilirubin deposition is visible in the whites of the eyes.
Extract:
If intubation is indicated for a patient with bleeding esophageal varices, the type of tube most likely to be used would be a (an):
Question 2 of 5
If intubation is indicated for a patient with bleeding esophageal varices, the type of tube most likely to be used would be a (an):
Correct Answer: D
Rationale: The Sengstaken-Blakemore tube compresses varices to control bleeding.
Extract:
Question 3 of 5
One day after being admitted with bipolar disorder, a client becomes verbally aggressive during a group therapy session. Which response by the nurse would be therapeutic?
Correct Answer: C
Rationale: This response shows that the nurse finds the client's behavior unacceptable, yet still regards the client as worthy of help. The other options give the false impression that the client is in control of the behavior; the client hasn't been in treatment long enough to control the behavior.
Question 4 of 5
A young adult patient constantly seeks attention from the nurses, stomping away from the nurses' station and pouting when her requests are refused. Which of the following responses by the nurse is MOST appropriate?
Correct Answer: B
Rationale: Rewarding non-attention-seeking behaviors with unsolicited attention reinforces positive behavior, reducing the need for negative attention-seeking actions. Consistent staff approaches (contrary to A and
D) and limit-setting without ignoring the patient (
C) are also important, but B directly addresses behavior modification.
Question 5 of 5
A toddler is having a tonic-clonic seizure. What should the nurse do first?
Correct Answer: C
Rationale: During a seizure, the nurse's first priority is to protect the child from injury.
To prevent injury caused by uncontrolled movements, the nurse must remove objects from the child's surroundings and pad objects that can't be removed. Restraining the child or placing an object in the child's mouth during a seizure may cause injury. Once the seizure stops, the nurse should check for breathing and, if indicated, initiate rescue breathing.