NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 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 2 of 5
A client with a history of seizures is prescribed phenytoin (Dilantin) 100 mg tid. The nurse should instruct the client to
Correct Answer: B
Rationale: Alcohol can lower phenytoin levels, increasing seizure risk, so avoidance is critical. Taking with meals (
A) is unnecessary, calcium (
C) is unrelated, and stopping for a rash (
D) requires physician consultation due to potential Stevens-Johnson syndrome.
Extract:
Following major abdominal surgery, Mrs. Lafayette, was started on Morphine infusion via PCA (patient's controlled analgesia) pump.
Question 3 of 5
Priority nursing care for the patient would include:
Correct Answer: A
Rationale: Morphine sulfate is a central nervous system depressant, and respiratory depression is a serious side effect, making respiratory status the priority.
Extract:
A 25-year-old young male comes into the ER following a motorbike accident. Upon obtaining a recent history, the patient states he fell in the ground and hit his head on the pavement. He reports that he was unconscious for 15 seconds and then confused for several minutes.
Question 4 of 5
What is the first diagnostic test to perform on this patient?
Correct Answer: C
Rationale: A CT scan must be performed as soon as possible to rule out a cerebral hemorrhage. Blurred vision and loss of consciousness may indicate a severe brain injury.
Extract:
A 78-year-old patient is admitted with pulmonary edema and given I.V. morphine sulfate.
Question 5 of 5
Why?
Correct Answer: C
Rationale: Morphine slows breathing and reduces anxiety in pulmonary edema, easing respiratory distress.