NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The treatment goal for a client with severe anxiety will have been achieved when the client demonstrates which of these behaviors?
Correct Answer: B
Rationale: The goal for severe anxiety is to channel it into constructive actions, such as problem-solving, rather than eliminating it entirely or only recognizing its source.
Question 2 of 5
A female client has an abdominal hysterectomy to remove a uterine fibroid. Which action should the nurse include when caring for the client postoperatively?
Correct Answer: A
Rationale: A. Monitoring the perineal pad will alert the nurse to any increase in vaginal bleeding. Infection and hemorrhage are the major risks following a hysterectomy. B. HRT is needed only if the ovaries have been removed (oophorectomy). C. The client should be encouraged to ambulate in the early postoperative period, rather than remain on bedrest. Development of DVT is a concern after abdominal hysterectomy. D. Peristalsis is typically suppressed after abdominal hysterectomy, and the client will be on restricted oral intake until physical signs indicate the return of peristalsis.
Question 3 of 5
An adult client with newly diagnosed cancer says, 'I'm really afraid of dying. Who's going to take care of my children?' What is the best initial response for the nurse to make?
Correct Answer: C
Rationale: An empathetic response acknowledging the client's fear opens communication, validating emotions without dismissing concerns or making assumptions.
Question 4 of 5
Allopurinol (Zyloprim) is ordered for the client who is receiving cancer chemotherapy. What instruction should the nurse give the client because allopurinol is ordered?
Correct Answer: A
Rationale: Allopurinol prevents uric acid buildup from chemotherapy; increased water intake promotes excretion, reducing kidney damage risk.
Question 5 of 5
Mr. S. is a man who has not spoken for years. He is diagnosed as having paranoid schizophrenia. One day, when Ms. J., another client, was standing facing the elevator, the man approached her from behind and reached for her as if to strangle her. What is the most appropriate action for the nurse to take at this time?
Correct Answer: D
Rationale: Getting his attention and calling for help ensures safety for all involved without escalating the situation through physical intervention.