NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?
Correct Answer: C
Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.
Question 2 of 5
The nurse is caring for an adult male who is diagnosed with probable appendicitis. Which assessment finding is most consistent with the diagnosis?
Correct Answer: C
Rationale: Nausea and vomiting are typically seen in persons who have appendicitis. The pain of appendicitis is in the right lower quadrant, not the right upper quadrant. The white blood cell count is elevated in the person with appendicitis. The temperature of a person with appendicitis is likely to be a low-grade fever, not a high fever.
Question 3 of 5
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
Correct Answer: B
Rationale: Epilepsy increases the risk of injury due to seizures, which can cause falls or trauma. The other diagnoses are not directly related to epilepsy. Reduction of Risk Potential
Question 4 of 5
A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?
Correct Answer: C
Rationale: Self-blame. Victims often internalize blame, believing their behavior causes the abuse, which is a common misconception.
Question 5 of 5
Ashley and her boyfriend Chris, both 19 years old, are transported to the Emergency Department after being involved in a motorcycle accident. Chris is badly hurt, but Ashley has no apparent injuries, though she appears confused and has trouble focusing on what is going on around her. She complains of dizziness and nausea. Her pulse is rapid, and she is hyperventilating. The nurse should assess Ashley's level of anxiety as:
Correct Answer: C
Rationale: Ashley's symptoms, including confusion, dizziness, nausea, rapid pulse, and hyperventilation, indicate severe anxiety, characterized by somatic symptoms and impaired problem-solving. Mild or moderate anxiety would present with less intense symptoms, and panic would involve loss of reality. Psychosocial Integrity