NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Question 1 of 5
A client with chronic obstructive pulmonary disease, who has been receiving mechanical ventilation for the past 5 days, expresses to a nurse his desire to have treatment withdrawn. Which statement about the client's legal rights is true in this situation?
Correct Answer: D
Rationale: Health care professionals must ensure a health care ethic that respects the role of the client in the decision-making process. According to the Patient's Bill of Rights, the client has the right to make decisions about his care at any time. The nurse should be a client advocate and be supportive of the decision he made.
Question 2 of 5
A 65-year-old female is planning for retirement. Which statement indicates that the client has achieved ego integrity?
Correct Answer: A
Rationale: Ego integrity, per Erikson, involves acceptance of one's life and finding meaning, as shown by planning to join a travel club .
Choices B, C, and D reflect uncertainty or despair.
Question 3 of 5
The nurse caring for a client with mania understands that the client's behavior is a way of avoiding feelings of despair. The expression of behaviors opposite to those being experienced is an example of which defense mechanism?
Correct Answer: D
Rationale: Reaction formation is the outward expression of feelings that are opposite to those experienced. Answer A refers to the development of physical symptoms in response to inner conflict, so it is incorrect. Answer B refers to the defense mechanism used by those with borderline personality disorder, so it is incorrect. Answer C is incorrect because it's the channeling of unacceptable thoughts and behaviors into socially acceptable behaviors.
Question 4 of 5
The mother of a child with a neural tube defect asks the nurse what she can do to decrease the chances of having another baby with a neural tube defect. What is the best response by the nurse?
Correct Answer: A
Rationale: The American Academy of Pediatrics recommends that all childbearing women increase folic acid from dietary sources and/or supplements. There is evidence that increased amounts of folic acid prevents neural tube defects.
Extract:
The physician prescribes Isordil 10 mg PRN TID and a nitroglycerin transdermal disc once a day for a patient with chronic angina pectoris. The patient asks the nurse why the Isordil is prescribed.
Question 5 of 5
The nurse's best response would be:
Correct Answer: C
Rationale: Isordil, a nitrate, dilates coronary arteries, increasing oxygen delivery to the heart.