NCLEX-PN
Nclex Practice Questions 2024 Questions
Extract:
Question 1 of 5
A 26-year-old single woman is knocked down and robbed while walking her dog one evening. Three months later, she presents at the crisis clinic, stating that she cannot put this experience out of her mind. She complains of nightmares, extreme fear of being outside or alone, and difficulty eating and sleeping. What is the best response by the nurse?
Correct Answer: B
Rationale:
Choice B is the best response as it provides empathy and encourages the client to talk about her experience, which can be therapeutic. This approach validates the client's feelings and offers support. By acknowledging the difficulty and fear experienced by the client, the nurse opens the door for the client to express her emotions and begin the process of coping with the trauma.
Choices A, C, and D do not address the emotional impact of the traumatic event or provide an opportunity for the client to express her feelings and concerns.
Choice A immediately jumps to medication without exploring other supportive interventions.
Choice C focuses on practical solutions without addressing the client's emotional needs.
Choice D suggests a drastic solution without considering the client's emotional state or preferences.
Question 2 of 5
Which laboratory test would be the least effective in diagnosing a myocardial infarction?
Correct Answer: A
Rationale: AST, choice A, would be the least effective in diagnosing a myocardial infarction as it is not specific for this condition. Troponin, CK-MB, and myoglobin (choices B, C, and
D) are more specific markers for myocardial infarction. Troponin is considered the gold standard due to its cardiac specificity. CK-MB is also specific to the heart, and its isoenzyme levels elevate post-heart damage. Myoglobin, although elevated in myocardial infarction, is not as specific as troponin and CK-MB and can also increase in conditions like burns and muscle trauma.
Therefore, AST is the least effective choice for diagnosing a myocardial infarction.
Question 3 of 5
Which of the following services is not typically part of family consultation?
Correct Answer: A
Rationale: In family consultation, the primary focus is on helping families address their emotions, enhance communication skills, and resolve issues. Assisting with vocational rehabilitation involves a different scope beyond the typical objectives of family consultation. While providing information about the client's illness, teaching effective communication, and aiding families in problem-solving are common in family consultation to promote understanding, healthy dynamics, and conflict resolution.
Question 4 of 5
In the context of milieu therapy, what is its primary purpose?
Correct Answer: D
Rationale: Milieu therapy aims to provide routine daily experiences to clients. By offering a structured and predictable environment, it helps individuals feel safe and secure, reducing disruptive behaviors. Exploring the client's perception of reality (choice
A) may be part of therapy but not the primary focus. Enhancing social interaction abilities (choice
B) and addressing maladaptive behaviors (choice
C) are important aspects of therapy but not the primary purpose of milieu therapy.
Question 5 of 5
The physician has ordered a culture for the client with suspected gonorrhea. The nurse should obtain which type of culture?
Correct Answer: D
Rationale: A culture for gonorrhea is taken from the genital secretions as gonorrhea primarily affects the genital area. The culture is incubated in a warm environment to promote the growth of Neisseria gonorrhoeae, the bacterium causing gonorrhea. Genital secretions provide a direct sample from the site of infection, increasing the accuracy of diagnosis.
Choices A, B, and C are incorrect as they are not suitable specimens for diagnosing gonorrhea. Blood cultures are used to detect bloodstream infections, nasopharyngeal secretions are collected for respiratory infections, and stool cultures are done to identify gastrointestinal infections, none of which are related to gonorrhea.