NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
To initiate a relationship with a child who may be autistic, the nurse would probably be most effective by using which of these approaches?
Correct Answer: C
Rationale: Sitting quietly with the child respects their social sensitivities, fostering trust without overwhelming them, unlike interactive games.
Question 2 of 5
A man who is being treated for paranoia walks toward the nurse's desk and observes the nurse making a telephone call. A few minutes later, he accuses the nurse of having called the police. How should the nurse interpret his behavior?
Correct Answer: D
Rationale: Interpreting a neutral action (phone call) as personally threatening indicates ideas of reference, a common feature of paranoia.
Question 3 of 5
The client with newly diagnosed breast cancer asks the nurse to explain the advantages of a sentinel lymph node biopsy (SLNB). Which explanation should the nurse state to the client?
Correct Answer: B
Rationale: A. The SLNB will not improve the ability of the surgeon to remove all of the tumor. B. An SLNB uses a radioactive substance or dye to help to identify axillary lymph node involvement before axillary dissection has occurred. If the sentinel node is identified and is found to be negative for tumor cells, then further axillary lymph node dissection is unnecessary. Thus the lymph drainage of the involved arm can be preserved. C. The SLNB will not make breast reconstruction easier to perform. D. The use of hormonal therapy for breast cancer treatment is determined by the receptor status of the tumor, not by the SLNB results.
Question 4 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 5 of 5
While caring for the 2-year-old child who has a colostomy, the nurse observes small threadlike objects on and around the stoma. Which statement correctly reflects the nurse's thinking about these objects?
Correct Answer: C
Rationale: Pinworms can appear as small, threadlike objects around the perianal area or stoma, consistent with this description.