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
The nurse is caring for clients in the student health center. A client confides to the nurse that the client's boyfriend informed her that he tested positive for hepatitis B. Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: Hepatitis B is transmitted through sexual contact or parenteral routes. Assessing exposure by asking about unprotected sex is the best initial response to determine the client’s risk and guide further actions (e.g., testing, HBIG, or vaccination).
Choice A is empathetic but non-assessing, B and C assume exposure without confirmation, and D prioritizes assessment.
Extract:
Nurse Mary is scheduled to attend an in-service program but she still has to perform some nursing care on her assigned client.
Question 3 of 5
Which action will best meet her educational needs?
Correct Answer: B
Rationale: Completing the procedure ensures patient care continuity before attending the in-service.
Extract:
Question 4 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Question 5 of 5
A client with chronic obstructive pulmonary disease, who has been receiving mechanical ventilation for the past 5 days, expresses to a nurse his desire to have treatment withdrawn. Which statement about the client's legal rights is true in this situation?
Correct Answer: D
Rationale: Health care professionals must ensure a health care ethic that respects the role of the client in the decision-making process. According to the Patient's Bill of Rights, the client has the right to make decisions about his care at any time. The nurse should be a client advocate and be supportive of the decision he made.