NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
While caring for a young child in Bryant's traction
Question 1 of 5
The nurse should be aware that the traction is no longer effective if:
Correct Answer: D
Rationale: The principle of Bryant's traction is bilateral 90° hip flexion. It is skin traction applied to the legs to decrease the fracture, maintain alignment, and immobilize both legs. If the hips touch the bed, the traction is not maintaining the required position.
Extract:
Question 2 of 5
The nurse is caring for a woman admitted with thrombocytopenia. Which instruction should the nurse give the client?
Correct Answer: B
Rationale: Thrombocytopenia increases bleeding risk; avoiding dental floss or firm toothbrushes prevents gum bleeding, a priority precaution.
Extract:
Which of the following female patients is at the highest risk for the development of breast cancer?
Question 3 of 5
A 28-year-old who was 10 years old at menarche.
Correct Answer: A
Rationale: Early menarche (before age 12) is a known risk factor for breast cancer due to prolonged exposure to estrogen.
Extract:
Question 4 of 5
A 38-year-old woman, mother of two, has a mastectomy for breast cancer. When she returns to the physician's office a month later for a routine check-up, the nurse asks the client how she has been. Which of the following responses, if made by the client to the nurse, indicates that the client is experiencing a normal reaction to the surgery?
Correct Answer: B
Rationale: One month post-mastectomy, emotional responses like difficulty coping and frequent crying are normal as the client processes grief and body image changes. Helping family (
A) or returning to work (
D) suggest advanced coping stages premature at this point, and social withdrawal (
C) indicates an abnormal reaction.
Question 5 of 5
An adult who is undergoing diagnostic tests to diagnose a possible malignancy angrily says to the nurse, 'You don't know anything. I want someone competent caring for me.' What is the best initial nursing response?
Correct Answer: B
Rationale: Acknowledging the client's distress validates their feelings, de-escalating anger and fostering therapeutic communication.