NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
When changing Ms. Wilson's postoperative dressing, the nurse is careful not to introduce microorganisms into the surgical incision.
Question 1 of 5
This is an example of:
Correct Answer: C
Rationale: Intact skin is the first line of defense against entry of microorganisms. A surgical incision is a portal of entry, so a technique that requires the absence of all microorganisms (surgical asepsis) is essential.
Extract:
Question 2 of 5
A patient with schizophrenia is experiencing auditory hallucinations. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Asking the patient to describe hallucinations builds trust, assesses severity, and guides treatment without challenging reality. Ignoring, denying, or distracting with TV does not address the patient’s experience.
Extract:
A child sustains a fractured femur in a bicycle accident. However, the admission x-ray films reveal evidence of fractures of other long bones in various stages of healing.
Question 3 of 5
The nurse determines that this child should be assessed for:
Correct Answer: A
Rationale: Multiple fractures in various healing stages suggest non-accidental trauma, indicating child abuse.
Extract:
Question 4 of 5
What significant event occurs in the orientation phase of a nurse-client relationship?
Correct Answer: B
Rationale: Identifying transference phenomena, where clients project feelings onto the nurse, is key in the orientation phase to establish a therapeutic relationship. The other events are less specific to this phase. Psychosocial Integrity
Question 5 of 5
When teaching a client with coronary artery disease about nutrition, the nurse should emphasize
Correct Answer: C
Rationale: avoiding very heavy meals. Eating large, heavy meals can pull blood away from the heart for digestion, which is dangerous for the client with coronary artery disease.