NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
A patient with history of asthma presented himself to the outpatient clinic due to feeling of tightness on his chest, audible wheezing and mild shortness of breath. Upon arrival at the clinic his peak flow was at 480 liters/minute but in an hour of arrival, his peak flow has dropped to 200 liters/minute.
Question 1 of 5
What should the nurse do first?
Correct Answer: B
Rationale: A significant drop in peak flow indicates worsening asthma. Administering albuterol inhalation is the first action to relieve bronchospasm.
Extract:
Question 2 of 5
The nurse teaching about preventable diseases should emphasize the importance of getting the following vaccines:
Correct Answer: D
Rationale: Polio, pertussis, and measles vaccines are critical for preventing communicable diseases through routine childhood immunization. The other options include diseases without available vaccines or less relevant combinations. Physiological Adaptation
Question 3 of 5
A 16 year-old boy is admitted for Ewing's sarcoma of the tibia. In discussing his care with the parents, the nurse understands that the initial treatment most often includes
Correct Answer: D
Rationale: radiation and chemotherapy. The initial treatment of choice for Ewing's sarcoma is a combination of radiation and chemotherapy.
Question 4 of 5
The nurse caring for a client with mania understands that the client's behavior is a way of avoiding feelings of despair. The expression of behaviors opposite to those being experienced is an example of which defense mechanism?
Correct Answer: D
Rationale: Reaction formation is the outward expression of feelings that are opposite to those experienced. Answer A refers to the development of physical symptoms in response to inner conflict, so it is incorrect. Answer B refers to the defense mechanism used by those with borderline personality disorder, so it is incorrect. Answer C is incorrect because it's the channeling of unacceptable thoughts and behaviors into socially acceptable behaviors.
Question 5 of 5
A 15-year-old client presents at the clinic with fatigue, a severe sore throat, and swollen lymph nodes in the neck. A monospot test is positive. What instructions will be most appropriate for this client?
Correct Answer: B
Rationale: Infectious mononucleosis, indicated by a positive monospot test, is viral, requiring rest and nutrition for recovery, not antibiotics or isolation for blisters.