NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Stephen is a 58-year-old male patient who has a long history of alcoholism. He develops Laennec's cirrhosis, has ascites, jaundice and is confused.
Question 1 of 5
The nursing priority for Stephen is to
Correct Answer: A
Rationale: Confusion indicates hepatic encephalopathy, making safety measures the priority to prevent injury.
Extract:
Question 2 of 5
A client has a history of chronic undifferentiated schizophrenia. Because she has a history of noncompliance with antipsychotic therapy, she'll receive fluphenazine decanoate (Prolixin Decanoate) injections every 4 weeks. Before discharge, what should the nurse include in her teaching plan?
Correct Answer: B
Rationale: The nurse should teach the client how to manage common adverse reactions, such as orthostatic hypotension and anticholinergic effects. The antipsychotic effects of the drug may take several weeks to appear. Droperidol increases the risk of extrapyramidal effects when given in conjunction with phenothiazines such as fluphenazine. Tardive dyskinesia is a possible adverse reaction and should be reported immediately.
Question 3 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.
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:
Thirty-minutes after the blood transfusion was started, the patient complains of urticaria in the chest, abdomen and both thighs.
Question 5 of 5
The PN will implement which nursing action as a priority?
Correct Answer: A
Rationale: Urticaria indicates a possible transfusion reaction, and the priority is to stop the infusion to prevent further complications.