NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Which of the following shouldn't be considered when assessing an elderly patient?
Question 1 of 5
Which of the following shouldn't be considered when assessing an elderly patient?
Correct Answer: C
Rationale: Assuming all elderly patients need loud speech stereotypes and may miss nuanced hearing issues.
Extract:
Question 2 of 5
A client who is 12 hour post-op becomes confused and says: 'Giant sharks are swimming across the ceiling.' Which assessment is necessary to adequately identify the source of this client's behavior?
Correct Answer: C
Rationale: Pulse oximetry. A sudden change in mental status in any post-op client should trigger a nursing intervention directed toward respiratory evaluation. Pulse oximetry would be the initial assessment. If available, arterial blood gases would be better. Acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/or hypoxemia. Clinical findings of hypoxemia include these findings which are listed in order of initial to later findings: restlessness, irritability, agitation, dyspnea, disorientation, confusion, delirium, hallucinations, and loss of consciousness.
Extract:
Marie is a 5-year-old girl is admitted with a diagnosis of Acute Lymphoblastic Leukemia.
Question 3 of 5
Incidence of Leukemia is higher in children. Pathophysiology of infection in Leukemia is due primarily to:
Correct Answer: C
Rationale: Elevated WBC with impaired function (neutropenia) predisposes to infections in leukemia.
Extract:
A 14-year-old patient with a diagnosis of gonorrhea requested you not to tell her parents about the disease.
Question 4 of 5
How will you respond?
Correct Answer: B
Rationale: Confidentiality is maintained for minors in sensitive diagnoses like STIs, unless there's a legal requirement to disclose.
Extract:
Question 5 of 5
At what point in the nurse-client relationship should termination first be addressed?
Correct Answer: C
Rationale: Addressing termination in the orientation phase sets clear expectations for the relationship's duration, ensuring transparency. Waiting until later phases or client initiation is less structured. Coordinated Care