NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for an older adult client who has been on bed rest for two weeks because she has had the flu. The nurse should carefully observe the client for which possible complications? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: Prolonged bed rest increases risks of muscle atrophy, joint contractures, urinary retention, constipation, and footdrop due to immobility.
Question 2 of 5
The nurse caring for a client with mania understands that the client's behavior is a way of avoiding feelings of despair. The expression of behaviors opposite to those being experienced is an example of which defense mechanism?
Correct Answer: D
Rationale: Reaction formation is the outward expression of feelings that are opposite to those experienced. Answer A refers to the development of physical symptoms in response to inner conflict, so it is incorrect. Answer B refers to the defense mechanism used by those with borderline personality disorder, so it is incorrect. Answer C is incorrect because it's the channeling of unacceptable thoughts and behaviors into socially acceptable behaviors.
Question 3 of 5
A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that he is:
Correct Answer: A
Rationale: A client with delusions of grandeur has a false belief that he is highly important or famous. A delusion of persecution is a false belief that one is being persecuted. A delusion of reference is a false belief that one is connected to events unrelated to oneself or a belief that one is responsible for the evil in the world.
Extract:
A patient with history of asthma presented himself to the outpatient clinic due to feeling of tightness on his chest, audible wheezing and mild shortness of breath. Upon arrival at the clinic his peak flow was at 480 liters/minute but in an hour of arrival, his peak flow has dropped to 200 liters/minute.
Question 4 of 5
What should the nurse do first?
Correct Answer: B
Rationale: A significant drop in peak flow indicates worsening asthma. Administering albuterol inhalation is the first action to relieve bronchospasm.
Extract:
Question 5 of 5
The nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease (COPD). The nurse observes the client having periods of apnea during sleep. The nurse should
Correct Answer: C
Rationale: Periods of apnea during sleep in a COPD client may indicate sleep apnea or worsening respiratory status, requiring medical evaluation. Increasing oxygen (
A) without orders is unsafe, repositioning (
B) may not address apnea, and only documenting (
D) delays intervention.