NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for an adult who had abdominal surgery yesterday. When the nurse encourages the client to take some deep breaths and cough, the client tells the nurse, 'It hurts when I cough. I just can't do it.' What is the nurse's best response?
Correct Answer: C
Rationale: Splinting the incision with a pillow reduces pain during coughing, promoting effective lung expansion to prevent pneumonia.
Question 2 of 5
A client arrived in the USA from a developing country 1 week ago. The client is to be admitted to the medical surgical unit with a diagnosis of AIDS. There is a history of these findings: unintended weight loss, drug abuse, night sweats, productive cough, and a 'feeling of being hot all the time.' The nurse should assign the client to share a room with a client with the diagnosis of
Correct Answer: A
Rationale: Acute tuberculosis with a productive cough of discolored sputum for over three months. The client being admitted has the classic findings of pulmonary tuberculosis. Of the available choices, the client in option A would be the most appropriate roommate. It is acceptable to put clients with similar diagnoses in the same room when no other alternative exists. Clients are considered contagious until the cough is eliminated with medications, which initially is a combination of 4 simultaneous drugs.
Question 3 of 5
A nurse is caring for a patient in the first stage of labor. Which of the following interventions should the nurse implement to promote comfort? (Select all that apply)
Correct Answer: A,B,C,E
Rationale: Walking, ice chips, warm showers, and breathing techniques reduce discomfort and promote relaxation in early labor. Enemas are outdated and not routine.
Question 4 of 5
The multidisciplinary team decides to implement behavior modification with a client. Which of the following nursing actions is of primary importance during this time?
Correct Answer: A
Rationale:
To implement a behavior modification plan successfully, all staff members need to be included in program development, and time must be allowed for discussion of concerns from each nursing staff member; consistency and follow-through is important to prevent or diminish the level of manipulation by the staff or client during implementation of this program. Ensuring staff compliance promotes a unified approach, which is critical for the plan’s effectiveness.
Question 5 of 5
A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?
Correct Answer: D
Rationale: Morphine can cause sphincter of Oddi spasm, worsening pancreatitis pain, and should be questioned. Meperidine is preferred, and Mylanta/cimetidine are appropriate for symptom management.