NCLEX-PN Practice Questions Quizlet Questions

Question 1 of 5

A young adult patient constantly seeks attention from the nurses, stomping away from the nurses' station and pouting when her requests are refused. Which of the following responses by the nurse is MOST appropriate?

A. Have the patient establish trust with one staff person with whom therapeutic interventions should occur.B. Give the patient unsolicited attention when she is not exhibiting the unacceptable behaviors.C. Ignore the patient when she exhibits attention-seeking behavior.D. Rotate the staff so the patient will learn to relate to more than one nurse.

Correct Answer: B

Rationale: Rewarding non-attention-seeking behaviors with unsolicited attention reinforces positive behavior, reducing the need for negative attention-seeking actions. Consistent staff approaches (contrary to A and
D) and limit-setting without ignoring the patient (
C) are also important, but B directly addresses behavior modification.

Question 2 of 5

The nurse is caring for a client with a history of chronic venous insufficiency. Which of the following interventions should the nurse prioritize?

A. Apply warm compresses to the legs.B. Encourage leg elevation when sitting.C. Administer diuretics as ordered.D. Restrict ambulation to prevent swelling.

Correct Answer: B

Rationale: Leg elevation reduces venous pooling and edema in chronic venous insufficiency, improving circulation. Warm compresses (
A) are inappropriate, diuretics (
C) are not first-line, and restricting ambulation (
D) worsens stasis.

Extract:

A 2-gram sodium diet is prescribed for a patient with severe hypertension. The patient does not like the diet, and the nurse hears the patient tell a friend to bring in some 'good home-cooked food.'

Question 3 of 5

It would be most effective for the nurse to plan to

A. call the dietician for patient teaching.B. wait for the patient's family and discuss the diet with the patient and family.C. tell the patient that the use of salt is forbidden.D. catch the family members before they go into the patient's room and tell them about the diet.

Correct Answer: B

Rationale: Discussing the diet with the patient and family fosters understanding and compliance.

Extract:

Question 4 of 5

Which detail of a client's drug therapy is the nurse legally responsible for documenting?

A. Peak concentration time of the drugB. Safe ranges of the drugC. Client's socioeconomic dataD. Client's reaction to the drug

Correct Answer: D

Rationale: The nurse legally must document the client's reaction to the drug in addition to the time the drug was administered and the dosage given. The nurse isn't legally responsible for documenting the peak concentration time of the drug, safe drug ranges, or the client's socioeconomic data.

Question 5 of 5

Which of the following nursing actions has the HIGHEST priority for a teenager admitted with burns to 50% of his body?

A. Counseling regarding problems of body image.B. Maintain airborne precautions.C. Maintain aseptic technique during procedures.D. Encourage peers to visit on a regular basis.

Correct Answer: C

Rationale: Severe burns (50% of the body) significantly increase the risk of infection due to loss of skin barrier. Maintaining aseptic technique during procedures is the highest priority to prevent life-threatening infections. Counseling (
A) and peer visits (
D) address psychosocial needs, which are secondary, and airborne precautions (
B) are unnecessary (standard precautions suffice).

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