NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is talking with a client with obsessive-compulsive disorder. When the client performs ritualistic behaviors, the nurse should recognize that the client
Correct Answer: C
Rationale: Ritualistic behaviors in OCD are driven by an intense need to control the environment or reduce anxiety through repetitive actions. They are not related to hearing voices or controlling anger, which are more associated with other disorders.
Question 2 of 5
The nurse is speaking at a community meeting about personal responsibility for health promotion. A participant asks about chiropractic treatment for illnesses. What should be the focus of the nurse's response?
Correct Answer: B
Rationale: Spinal column manipulation. The theory underlying chiropractic is that interference with transmission of mental impulses between the brain and body organs produces diseases. Such interference is caused by misalignment of the vertebrae. Manipulation reduces the misalignment (subluxation).
Question 3 of 5
The nurse is reinforcing teaching with a client who is having a 1-hour glucose tolerance test. Which statement by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Fasting for 4 hours is incorrect; a 1-hour glucose tolerance test typically requires fasting for 8 hours. The other statements are correct: no eating for 1 hour after the glucose solution and a 3-hour test if results are elevated.
Question 4 of 5
The practical nurse is caring for a client with newly diagnosed infective endocarditis. Which assessment finding by the nurse is the most concerning?
Correct Answer: A
Rationale: Pain and pallor in one foot suggest an embolic event, a serious complication of infective endocarditis that could lead to tissue ischemia or infarction, requiring urgent intervention. Knee pain, splinter hemorrhages, and mild fever are less immediately threatening.
Question 5 of 5
Which is the best way to position a client's neck for palpation of the thyroid?
Correct Answer: A
Rationale: Flexing the neck toward the side being examined relaxes the sternocleidomastoid muscle, facilitating thyroid palpation. Other positions make access more difficult. Health Promotion and Maintenance