NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is talking with a client. The client abruptly says to the nurse, 'The moon is full. Astronauts walk on the moon. Walking is a good health habit.' The client's remarks most likely indicate
Correct Answer: C
Rationale: Loose associations. The client's statements are loosely connected by related words, indicating disorganized thought.
Question 2 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
Question 3 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.
Question 4 of 5
Which finding in a neonate suggests hypothermia?
Correct Answer: A
Rationale: Neonates who are hypothermic typically develop bradycardia. Hypoglycemia, not hyperglycemia, and metabolic acidosis, not metabolic alkalosis, are also seen in neonates with hypothermia. Neonates typically don't shiver.
Question 5 of 5
A woman had a hysterectomy this morning. She asks the nurse why she has to wear 'these uncomfortable stockings on my legs.' How should the nurse reply?
Correct Answer: D
Rationale: Compression stockings prevent deep vein thrombosis by promoting venous return, critical post-surgery.