NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Question 1 of 5
When talking with a patient who has been diagnosed as having myasthenia gravis, the nurse observes that the patient has:
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, often leading to difficulty swallowing (dysphagia).
Extract:
Question 2 of 5
An elderly client denies that abuse is occurring. Which of the following factors could be a barrier for the client to admit being a victim?
Correct Answer: D
Rationale: Fear of reprisal or further violence is a common barrier preventing elderly clients from reporting abuse, due to dependency on the abuser or fear of consequences. The other options are less relevant. Psychosocial Integrity
Extract:
A nurse finds the victim under the wreckage of a collapsed building. The individual is conscious, breathing satisfactorily, and lying on the back complaining of pain in the back and an inability to move the legs.
Question 3 of 5
The nurse should first:
Correct Answer: A
Rationale: Keeping the patient immobile and seeking help prevents further spinal cord injury.
Extract:
Question 4 of 5
The nurse is assessing a client with suspected anaphylaxis. Which of the following findings would require immediate intervention?
Correct Answer: B
Rationale: Wheezing and stridor indicate airway obstruction in anaphylaxis, a life-threatening emergency requiring immediate intervention (e.g., epinephrine). Rash (
A), itching (
C), and nausea (
D) are less urgent but still require monitoring.
Question 5 of 5
A client with Kawasaki disease has bilateral congestion of the conjunctivae, dry cracked lips, a strawberry tongue, and edema of the hands and feet followed by desquamation of fingers and toes. Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?
Correct Answer: C
Rationale: Explaining the disease progression helps the client and family understand that physical changes are temporary, supporting a positive body image. Other options address treatment or monitoring, not body image directly. Health Promotion and Maintenance