NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
Which client is at highest risk for developing a pressure ulcer?
Correct Answer: C
Rationale: 75 year-old with left sided paresthesia who is incontinent of urine and stool. Risk factors for pressure ulcers include: immobility, absence of sensation, decreased LOC, poor nutrition and hydration, skin moisture, incontinence, increased age, decreased immune response. This client has the greatest number of risk factors.
Question 2 of 5
The nurse is caring for a preschooler who needs stitches resulting from an injury received during play in the yard. What would be the most appropriate way to prepare the child for the treatment he will receive?
Correct Answer: B
Rationale: Play-based explanation with dolls engages a preschooler's developmental level, effectively preparing them for stitches.
Question 3 of 5
A patient with major depressive disorder is prescribed fluoxetine (Prozac). Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Fluoxetine’s full effect takes 4–6 weeks, and patients must continue it to maintain benefits. Bedtime dosing is not standard, grapefruit juice is irrelevant, and stopping early risks relapse.
Question 4 of 5
The nurse prepares a 25-year-old woman for a cesarean section. The patient says she had major surgery several years ago and asks if she will receive a similar 'shot' before surgery. The nurse's response should be based on an understanding that the preoperative medication given before a cesarean section
Correct Answer: C
Rationale: Preoperative medications for cesarean sections typically include reduced amounts of narcotics to minimize the risk of respiratory depression in the newborn, as narcotics cross the placental barrier. Sedatives and hypnotics are used in similar doses as in general surgery, and the overall dosage is not necessarily lower.
Question 5 of 5
For a client with Graves' disease, which nursing intervention promotes comfort?
Correct Answer: D
Rationale: Graves' disease causes signs and symptoms of hypermetabolism, such as heat intolerance, diaphoresis, excessive thirst and appetite, and weight loss.
To reduce heat intolerance and diaphoresis, the nurse should keep the client's room temperature in the low-normal range.
To replace fluids lost via diaphoresis, the nurse should encourage, not restrict, intake of oral fluids. Placing extra blankets on the bed of a client with heat intolerance would cause discomfort.
To provide needed energy and calories, the nurse should encourage the client to eat high-carbohydrate foods.