NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is providing home care to a confused client. The client's family is using a restraint to keep the client from pulling out her indwelling catheter. What should the nurse plan to include when teaching the family?
Correct Answer: B
Rationale: Checking restrained extremities hourly ensures circulation and prevents injury. Scheduled removal, supervision-based removal, or nurse-only removal are less practical or safe.
Question 2 of 5
The nurse is caring for a client with a myocardial infarction. Which finding requires the nurse's immediate action?
Correct Answer: B
Rationale: Dizzy spells. Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. Near syncope refers to lightheadedness, dizziness, temporary confusion. Such 'spells' may indicate runs of ventricular tachycardia or periods of asystole and should be reported immediately.
Question 3 of 5
A 76-year-old client is admitted to a long-term care facility with Alzheimer's-type dementia. The client has been wearing the same dirty clothes for several days. The nurse contacts the family and asks them to bring in clean clothing. Which intervention would best prevent further regression in the client's personal hygiene?
Correct Answer: A
Rationale: Clients with Alzheimer's-type dementia tend to fluctuate in their capabilities. Encouraging self-care to the extent possible helps increase the client's orientation and promotes a trusting relationship with the nurse. Making the client assume responsibility for physical care is unreasonable. Assigning a staff member to take over the client's physical care restricts the client's independence. Accepting the client's desire to go without bathing promotes poor hygiene.
Question 4 of 5
A 57-year-old woman is recently widowed. She states, 'I will never be able to learn how to manage the finances. My husband did all of that.' Select the nurse's response that could help raise the client's self-esteem.
Correct Answer: C
Rationale: Affirming the client's strength and ability to learn builds self-esteem and encourages confidence. The other responses are either critical or directive, potentially lowering self-esteem. Psychosocial Integrity
Extract:
The family of a terminally-ill client asks the nurse to help them end the suffering of her loved ones.
Question 5 of 5
Which of the following would be the most appropriate response by the nurse?
Correct Answer: B
Rationale: Euthanasia violates nursing ethics, and this response clearly communicates the ethical stance.