NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is planning care for the adolescent client being admitted with newly diagnosed active TB secondary to AIDS. Which intervention is most important for the nurse to plan?
Correct Answer: C
Rationale: Active TB requires airborne precautions to prevent transmission, especially in an immunocompromised patient with AIDS.
Question 2 of 5
The nurse is planning care for the client who had a TRAM (transrectus abdominis myocutaneous) flap breast reconstruction. Which actions should the nurse include?
Correct Answer: B
Rationale: A. Upper-extremity exercise and ROM are restricted to reduce strain on the incision site. B.
To monitor for viability and adequacy of blood supply to the TRAM flap, the flap must be assessed hourly for the first 24 hours. C. Pressure over the flap is avoided until healing is complete. D. The affected arm should be elevated to promote venous return.
Question 3 of 5
A client with terminal cancer yells at the nurse and says, 'I don't need your help, I can bathe myself.' Which stage of grief is the client most likely experiencing?
Correct Answer: C
Rationale: Yelling and asserting independence reflect anger, a stage of grief where clients may express frustration about their terminal condition.
Question 4 of 5
An adult male is being treated for depression. He has been in the hospital for three weeks. Which observation by the nurse is indicative of improvement in his condition?
Correct Answer: D
Rationale: Initiating conversation indicates improved social engagement, a sign of recovery from depression.
Question 5 of 5
The morning after admission for withdrawal from alcohol, a client is restless, tremulous, and somewhat agitated. The nurse should take which of these actions at this time?
Correct Answer: B
Rationale: Close observation monitors for worsening withdrawal symptoms, ensuring timely intervention without unnecessary measures like restraints.