NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse's actions during this intervention?
Correct Answer: C
Rationale: The need for restraints is based on the patient’s behavior and safety risk, not their voluntary/involuntary status. Institutional policies (
A), competence (B, requiring guardian consent if incompetent), and the care plan (D, ensuring least restrictive measures) all guide restraint use.
Question 2 of 5
The nurse is implementing a plan of care for a client with myxedema. Based on the client's diagnosis, the nurse should:
Correct Answer: C
Rationale: Myxedema (hypothyroidism) causes cold intolerance, so an additional blanket is appropriate. High-calorie snacks are for hyperthyroidism. Foot elevation and ketone checks are unrelated.
Question 3 of 5
A client with paranoid personality disorder monopolizes group activities with complaints that the staff is out to get him. The nurse should:
Correct Answer: D
Rationale: One of the most therapeutic actions the nurse can take with the paranoid client is to spend time with him but not challenge his delusions. Answer A would challenge his delusions and make him more convinced that he is right, so it is incorrect. Answers B and C would isolate the client and increase his paranoid thinking, so they're incorrect.
Extract:
Congenital hip dysplasia is suspected when the assessment data indicates which of the following in the newborn?
Question 4 of 5
Presence of Ortalani's click
Correct Answer: A
Rationale: The presence of Ortalani's click when legs are abducted and asymmetry of gluteal folds are signs of congenital hip dysplasia.
Extract:
Valerie, 37 years old, enters the hospital with symptoms of Addison's disease. She relates that she was taking cortisone pill for her contact dermatitis, but they bothered her stomach so she quit taking them. On admission Valerie's vital signs are: BP was 80/60; HR 115; RR 24. Laboratory results include a sodium level 128 mEq/L; potassium 5.5 mEq/L.
Question 5 of 5
Hypotension in Addison's disease involves a disturbance in the production of
Correct Answer: D
Rationale: Mineralcorticoids such as aldosterone cause the kidneys to retain sodium ions. With sodium, water is also retained, elevating blood pressure. Absence of this hormone causes hypotension.