NCLEX Questions, Best NCLEX-PN Practice Questions Questions,

Extract:

Question 1 of 5

Which nursing action would help to reduce stress and to aid an obsessive-compulsive client in using a less maladaptive means of handling stress?

Correct Answer: D

Rationale: Offering activities with achievable success builds confidence, reducing reliance on compulsive rituals to manage stress.

Question 2 of 5

The nurse is cleansing the skin of the hospitalized child with impetigo. Which action is most important for the nurse to take?

A. Apply clean gloves to prevent the spread of the infection to others. B. Use sterile technique to prevent any further infection of the lesions. C. Ensure that the water is cold to help reduce pain during cleansing. D. Keep the child in contact precautions until the child is discharged.

Correct Answer: A

Rationale: Impetigo is highly contagious. Wearing clean gloves prevents the spread of bacteria to others during skin cleansing.

Question 3 of 5

A woman has been having auditory hallucinations. When the nurse approaches her, she whispers, 'Did you hear that terrible man? He is scary!' Which would be the best response for the nurse to take initially?

A. Tell me everything the man is saying.' B. I don't hear anything. What scary things is he saying?' C. Who is he? Do you know him?' D. I didn't hear a man's voice, but you look scared.'

Correct Answer: D

Rationale: Acknowledging her fear while gently noting the nurse's perception validates her emotions without reinforcing the hallucination.

Question 4 of 5

When the nurse detects that a client is using defense mechanisms, the nurse should make which of these interpretations of the client's behavior?

A. The client is attempting to reestablish emotional equilibrium. B. The client is using self-defeating measures. C. The client is demonstrating illness. D. The client is asking for support from significant others.

Correct Answer: A

Rationale: Defense mechanisms are unconscious strategies used to cope with stress and maintain emotional balance, helping the client restore equilibrium.

Question 5 of 5

An adult woman is admitted to the detoxification unit for alcohol withdrawal. Her husband tells the nurse that he is fed up. Either she gets treatment or he is leaving her. Two days later, the woman develops delirium tremens. At this time, which of these nursing diagnoses should be given priority in caring for this client?

A. Risk for injury related to impulsiveness B. Noncompliance with medical regimen related to denial of illness C. Grieving related to her husband's threat of abandoning her D. Relocation stress syndrome related to transfer to a strange environment

Correct Answer: A

Rationale: Delirium tremens increases impulsiveness and disorientation, posing a high risk for injury, which takes priority over other diagnoses.