NCLEX-PN
PN Nclex Questions 2024 Questions
Extract:
Question 1 of 5
A client sitting alone and talking to voices is observed by a nurse. When asked, the client reports he is 'talking to the voices.' The nurse's next action should be:
Correct Answer: C
Rationale: When a client reports talking to voices, it can indicate the presence of hallucinations. Asking the client to describe what is happening is a crucial step as it helps the nurse understand the nature of the hallucinations and provides reassurance to the client.
Touching the client without consent is inappropriate and can be distressing. Leaving the client alone may not address the underlying issue, and telling the client there are no voices denies their experience and can lead to mistrust.
Question 2 of 5
The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
Correct Answer: A
Rationale: The pregnant nurse should not be assigned to any client with radioactivity present. The client receiving linear accelerator therapy is the correct choice because the radiation stays in the department, and the client is not radioactive.
Choices B, C, and D involve clients who are radioactive or pose a risk due to radioactivity. The client with a radium implant for cervical cancer (choice
B) is radioactive, the client who has just been administered soluble brachytherapy for thyroid cancer (choice
C) is radioactive for approximately 72 hours, and the client who returned from placement of iridium seeds for prostate cancer (choice
D) is also radioactive, especially right after the procedure. These options are not suitable for assignment to the pregnant nurse.
Question 3 of 5
While the client is receiving quinidine, the nurse should monitor the ECG for:
Correct Answer: D
Rationale: Quinidine can cause widened Q-T intervals and heart block, leading to a prolonged QT interval on the ECG. Other signs of myocardial toxicity associated with quinidine include notched P waves and widened QRS complexes. Common side effects of quinidine include diarrhea, nausea, and vomiting, while less common effects may include tinnitus, vertigo, headache, visual disturbances, and confusion. Monitoring for a prolonged QT interval is crucial due to the potential risk of serious arrhythmias.
Choices A, B, and C are not typically associated with the use of quinidine and are therefore incorrect in this context.
Question 4 of 5
A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:
Correct Answer: C
Rationale: The correct answer is Buck's traction. This intervention is used to realign the fractured femur, reduce spasms, and alleviate pain. Placing the client in the Trendelenburg position is inappropriate for a femur fracture, making answer A incorrect. While ice may be used post-repair, applying it to the entire extremity is unnecessary, so answer B is wrong. An abduction pillow is typically employed following a total hip replacement, not for a fractured femur, rendering answer D incorrect.
Question 5 of 5
Using clichés in therapeutic communication leads the client to:
Correct Answer: D
Rationale: The use of clichés in therapeutic communication is commonly construed by the client as the nurse's lack of understanding, involvement, and caring, which can lead the client to feel demeaned and discounted.
Choice A is incorrect because clichés do not make the client view the nurse as less understanding but rather as lacking depth in communication.
Choice B is incorrect as clichés do not directly lead the client to accepting themselves as human.
Choice C is incorrect because clichés usually hinder self-disclosure rather than encourage it.