NCLEX-PN
Best NCLEX-PN Practice Questions Questions
Question 1 of 5
Following withdrawal from alcohol, the client agrees to participate in group therapy sessions for a period before being discharged. Initially, group therapy may have which of these effects on the client?
Correct Answer: B
Rationale: Group therapy can initially provoke anxiety as the client confronts addiction issues, before deeper insights or goal-setting occur.
Question 2 of 5
The nurse is caring for an elderly woman admitted with chronic organic brain disease. When her daughter visits, she asks, 'Are you my maid?' How should the nurse describe the client's behavior?
Correct Answer: B
Rationale: Mistaking her daughter for a maid indicates disorientation, a common symptom of chronic organic brain disease, such as dementia.
Question 3 of 5
A 15-year-old girl is brought to the hospital by her parents. She is 5 feet, 7 inches tall and weighs 80 pounds. Her parents report that she eats very little. This evening, she is very difficult to arouse and had to be carried into the emergency room. A diagnosis of anorexia nervosa is made. Which of the following is the nurse most likely to observe/measure when assessing this client?
Correct Answer: D
Rationale: Tachycardia is common in severe anorexia due to dehydration and electrolyte imbalances, reflecting cardiovascular stress.
Question 4 of 5
A 23-year-old premedical student is admitted to a psychiatric hospital in a withdrawn, catatonic state. For two days prior to admission, she remained in one position without moving or speaking. On the unit, she continues to exhibit waxy flexibility as she sits all day. What is the first priority for the nurse during the initial phase of hospitalization?
Correct Answer: A
Rationale: Prolonged immobility in catatonia risks edema and cyanosis, making monitoring extremities the priority to prevent physical complications.
Question 5 of 5
Lithium carbonate is ordered for a client with overactive behavior. The nurse should observe the client for which of these side effects?
Correct Answer: A
Rationale: Diarrhea is a common side effect of lithium, requiring monitoring to prevent dehydration or toxicity.