NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. He was prescribed some breathing medication by his family physician. However, for the last two months he noted progression of the severity of symptoms and new medications were prescribed. A week prior to admission, his difficulty in breathing worsened. There was non-productive cough, easy fatiguability and basilar rales. He was diagnosed with respiratory problems with acute exacerbation and stemming pneumonia. He was started on antibiotics, IV solumedrol Q6 hourly, oxygen at 2 L/NC; bed rest; diet as tolerated; and ABG. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 1 of 5
What prevents air from entering the chest space when a patient has a chest tube?
Correct Answer: A
Rationale: The water seal chamber prevents air re-entry, maintaining negative pleural pressure.
Extract:
Question 2 of 5
A client with a history of bipolar disorder is admitted to the psychiatric unit during a manic episode. Which of the following interventions would be MOST appropriate for the nurse to include in the client's plan of care?
Correct Answer: B
Rationale: During a manic episode, a structured environment with limited stimulation reduces triggers for escalation and promotes safety. Group therapy (
A) may overwhelm, relaxation techniques (
C) are better for calmer states, and unrestricted decision-making (
D) can exacerbate impulsivity.
Question 3 of 5
The nurse is caring for a man who has radiation pellets in his mouth for mouth cancer. The nurse discovers one of the pellets in the sheets. What should the nurse do initially?
Correct Answer: B
Rationale: Using forceps to place the pellet in a lead-lined container minimizes radiation exposure safely. Checking the mouth, client handling, or calling first delays containment.
Question 4 of 5
A client complains of pain and itching from herpes zoster. Which of the following provides temporary relief?
Correct Answer: B
Rationale: Blowing cool air can soothe the pain and itching of herpes zoster by reducing skin irritation without exacerbating the condition.
Question 5 of 5
The nurse is caring for a client who had a right below-the-knee amputation three days ago. The client complains of pain in the right foot and asks for pain medication. What nursing action is appropriate initially?
Correct Answer: C
Rationale: Phantom limb pain, common post-amputation, is real pain; administering ordered pain medication addresses it effectively. Elevation, placebos, or discussion are less appropriate initially.