The "Comprehensive NCLEX-PN Exam Guide" is an essential resource for nursing students preparing for the NCLEX-PN licensure exam. This guide features a wide array of practice questions with detailed answer explanations, critical test-taking strategies, and thorough reviews of fundamental nursing con...
A 40-year-old patient is being admitted for a third instance of alcohol
dependency treatment in nine months. The healthcare team recommends
rehabilitation. What is the primary reason for this recommendation?
A. It is the only effective means to manage alcohol intake.
B. It aids in forming a new social circle.
C. It provides insight into the physiological effects of alcohol.
D. It assists the patient in recognizing the link between their issues and alcohol
use.
Answer: D
Rationale: Rehabilitative treatment focuses on helping the individual
understand how their problems are connected with their alcohol consumption.
It does not solely aim to manage intake, find new friends, or solely educate
about the effects of alcohol.
Question 2:
A 42-year-old patient with a shingles diagnosis visits the clinic. Which of the
following symptoms can confirm this condition? (Select all that apply.)
A. Severe pain around the chest area
B. Nodular red skin lesions on the chest
C. Elevated body temperature
D. General malaise
E. Diarrhea
Answer: A, B, C, D
Rationale: Shingles, or herpes zoster, manifests as unilateral pain and distinct
red lesions. Additionally, fever and malaise are common, while diarrhea is not
typically associated with shingles.
,Question 3:
A 43-year-old man is diagnosed with an anterior myocardial infarction (MI)
after experiencing chest heaviness and dyspnea. What immediate treatment
should the nurse anticipate?
A. Administration of lidocaine
B. Cardiac stress testing
C. Serial liver enzyme assessments
D. Administration of tissue plasminogen activator (tPA)
Answer: D
Rationale: If symptoms have been present for six hours or less, thrombolytic
therapy is recommended, specifically tPA, for an MI. Other options are not
appropriate at this stage.
Question 4:
A 76-year-old woman with Alzheimer’s-type dementia is wearing unclean
clothes for several days. The nurse asks her family to bring clean clothes. To
promote self-care and prevent hygiene regression, which approach is best?
A. Encourage the patient to maintain as much independence in self-care as
possible
B. Have the patient take full responsibility for her hygiene
C. Assign a staff member to handle her personal care
D. Accept the patient’s choice to avoid bathing
Answer: A
Rationale: Encouraging the patient to engage in self-care fosters independence
and can improve her orientation, whereas the other options either undermine
her autonomy or promote neglect.
, Question 5:
If a client inquires about the rhythm method of family planning, how should
the nurse describe it?
A. The use of chemical barriers to prevent sperm survival
B. Hormonal methods to prevent ovulation
C. Physical barriers to prevent sperm entry
D. Understanding the fertile window to identify safe sexual activity times
Answer: D
Rationale: The rhythm method involves tracking basal body temperature and
mucus changes to determine fertile periods, enabling awareness of when to
avoid intercourse.
Question 6:
When a client asks whether they should leave their spouse, and the nurse
replies by restating the client's uncertainty, which therapeutic technique is
being utilized?
A. Repetition of what the client said
B. Offering a new perspective
C. Reflecting the client's feelings back to them
D. Providing general encouragement
Answer: C
Rationale: Reflecting involves acknowledging the client's feelings to facilitate
exploration, while the other options do not accurately describe the technique
used.
Question 7:
A patient presents with symptoms including headache, malaise, chills, fever,
and stiff neck, showing signs of confusion and a petechial rash. What does a
positive Brudzinski's sign indicate?
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