NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?
Correct Answer: C
Rationale: Encourage range of motion and ambulation. Mobility reduces the risk of deep vein thrombosis in the post-surgical client and the adult at risk due to other factors.
Question 2 of 5
The nurse is talking with a client with major depressive disorder who has been taking paroxetine for the past 3 weeks. Which of the following statements by the client would require immediate follow-up?
Correct Answer: B
Rationale: Persistent depression with increased energy (
B) may indicate rising suicide risk, requiring immediate follow-up. Appetite (
A), sleep (
C), and libido (
D) changes are common side effects.
Question 3 of 5
Which therapeutic communication skill used by the nurse is most likely to encourage a depressed client to vent feelings?
Correct Answer: D
Rationale: Active listening. This skill, along with silence, encourages the client to verbalize feelings.
Question 4 of 5
The nurse is caring for a post-surgical client at risk for developing deep vein thrombosis. Which intervention is an effective preventive measure?
Correct Answer: C
Rationale: Encourage range of motion and ambulation. Mobility reduces the risk of deep vein thrombosis in the post-surgical client and the adult at risk due to other factors.
Question 5 of 5
The nurse is caring for an 87 year-old client with urinary retention. Which finding should be reported immediately?
Correct Answer: A
Rationale: Fecal impaction. The nurse should report fecal impaction or constipation which can cause obstruction of the bladder outlet. Bladder outlet obstruction is a common cause of urine retention in the elderly.