NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for an elderly woman admitted with chronic organic brain disease. When her daughter visits, she asks, 'Are you my maid?' How should the nurse describe the client's behavior?
Correct Answer: B
Rationale: Mistaking her daughter for a maid indicates disorientation, a common symptom of chronic organic brain disease, such as dementia.
Question 2 of 5
The nurse in a retirement home has noticed that Mr. A. and Ms. C. have been holding hands frequently. One day, the nurse enters Mr. A.'s room and finds Mr. A. and Ms. C. having sexual intercourse. Both residents are alert and oriented. What is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Both residents are alert and oriented, indicating consensual activity; leaving and closing the door respects their privacy and autonomy.
Question 3 of 5
An elderly woman with Alzheimer's disease refuses to eat and begins to lose weight. Which approach by the nurse will likely be most effective in getting the client to eat?
Correct Answer: D
Rationale: Assisting with meals provides practical support, addressing confusion and physical limitations in Alzheimer's, more effectively than explanations or threats.
Question 4 of 5
The nurse completes teaching about doxycycline to the adolescent diagnosed with Lyme disease. The nurse recognizes the need for further education when the client makes which statement?
Correct Answer: A
Rationale: Lyme disease is not contagious, but tanning can increase photosensitivity, a side effect of doxycycline, risking skin damage.
Question 5 of 5
A young woman who is fearful of getting into elevators is admitted. Two days after admission, she is scheduled for group therapy sessions that meet on the sixth floor. Her room is on the second floor. The other clients and the nurse go to the sixth floor on the elevator. The client starts trembling and refuses to get on the elevator. Which action is most therapeutic for the nurse to take?
Correct Answer: D
Rationale: Walking up the stairs with support respects her phobia, allowing participation in therapy without forcing exposure to the feared stimulus.