NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Two nights after admission for alcohol withdrawal, the client runs out of her room. She is confused and disoriented and says, 'Let me out of here. Bugs are crawling all over that room.' The nurse should take which of these actions?
Correct Answer: D
Rationale: Hallucinations during alcohol withdrawal indicate delirium tremens, requiring immediate medical attention and supervision for safety.
Question 2 of 5
The nurse is caring for the pediatric client who was diagnosed with AIDS. Which assessment findings should alert the nurse to the development of Pneumocystis carinii pneumonia (PCP)?
Correct Answer: A
Rationale: PCP in AIDS presents with dyspnea, fever, nonproductive cough, and fatigue, indicating a serious opportunistic infection.
Question 3 of 5
A 40-year-old man is admitted to the psychiatric unit for treatment of anxiety neurosis. For several weeks, he has had increasingly frequent periods of palpitations, sweating, chest pain, and choking. His nursing diagnosis is 'severe anxiety, stressor unidentified.' Which of these measures is appropriate during the client's attacks?
Correct Answer: A
Rationale: Providing support and safety during anxiety attacks helps reduce distress and ensures the client feels secure.
Question 4 of 5
Three days after admission for treatment of Valium addiction, a young woman briefly left the hospital to talk to a visitor. Her psychiatrist has threatened to discharge her for noncompliance with the treatment program. The client seems very despondent, refusing to get out of bed. The evening nurse finds the client crying, 'I've screwed everything up. It's hopeless. It's no use.' In responding to the client, which of the following would be most appropriate?
Correct Answer: D
Rationale: Acknowledging her sadness and assessing for suicidal ideation addresses her emotional state and ensures safety, given her despondency.
Question 5 of 5
The HCP prescribed mifepristone for the 35-year-old female to treat a leiomyoma. Before the client begins the medication, which information is most important for the nurse to obtain?
Correct Answer: C
Rationale: A. Mifepristone does not cause changes in BP. B. Mifepristone does not cause changes in liver enzymes. C. The pregnancy test results should be known because mifepristone is also used in conjunction with other medications for termination of early intrauterine pregnancy. D. Although weight can influence the dose, this information is not the most important. Mifepristone does not cause changes in weight.