NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Extract:
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Question 2 of 5
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, often leading to difficulty swallowing (dysphagia).
Extract:
Question 3 of 5
A 6-year old is diagnosed with scarlet fever. Which oral manifestation is associated with scarlet fever?
Correct Answer: C
Rationale: Scarlet fever causes a characteristic strawberry tongue (red or white-coated). White spots suggest thrush, grayish membranes indicate diphtheria, and black tongue is unrelated.
Extract:
Twenty-four hours following burn accident, Johnny was given Morphine Sulfate to control his pain.
Question 4 of 5
Which of the following parameters should the nurse utilize to accurately measure the client's response to drug therapy?
Correct Answer: B
Rationale: The pain scale provides an objective measure of pain intensity, assessing morphine's effectiveness.
Extract:
Question 5 of 5
The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?
Correct Answer: B
Rationale: Grasping objects is expected around 6 months, not 3 months, making this behavior unexpected. Holding the head erect (
A), turning to sound (
C), and spontaneous smiling (
D) are typical for a 3-month-old.