NCLEX PN Test

NCLEX PN Test Related

Review NCLEX PN Test related questions and content

The nurse in the outpatient mental health clinic is evaluating the effectiveness of the treatment regimen for a client with dependent personality disorder. Which of the following statements by the client would indicate that the treatment regimen has been effective?

  • A. I took the bus here today because my parents could not drive me.
  • B. I appreciate all the time you have spent trying to help me feel better.
  • C. I know I am not good at my job because I made a mistake at work today.
  • D. I plan to stay with my cousin while my parents go away on vacation next week.
Correct Answer: A

Rationale: Clients with dependent personality disorder have a persistent and extreme need to be taken care of that manifests as submissive and clinging behaviors and fear of separation. Additional characteristics of dependent personality disorder may include:• Difficulty in making day-to-day decisions • An excessive need for advice, reassurance, and nurturing from others • Lack of self-confidence or fear of doing things independently • Fear of confrontation or expressing disagreement with others • Feelings of helplessness and anxiety when alone or fear of being unable to take care of oneself The ability to make decisions about and carry out daily activities without assistance (eg, planning alternate transportation) indicate that the treatment plan has been effective

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The parents of a 4 year-old hospitalized child tell the nurse, 'We are leaving now and will be back at 6 PM.' A few hours later the child asks the nurse when the parents will come again. What is the best response by the nurse?

  • A. They will be back right after supper.'
  • B. In about 10 years, you will see them.'
  • C. After you play awhile, they will be here.'
  • D. When the clock hands are on 6 and 12.'
Correct Answer: A

Rationale: Time is not completely understood by a 4 year-old. Preschoolers interpret time with their own frame of reference. Thus, it is best to explain time in relationship to a known, common event.

An adult has a substance abuse problem. Which statement, if made by the client, indicates the best understanding of the problem?

  • A. I can never use that drug again.'
  • B. When I am off the drug for two years, I will be cured.'
  • C. At least I shall be able to go to parties and limit my drugs.'
  • D. When I feel upset, I can call the support group.'
Correct Answer: D

Rationale: Calling a support group during distress shows understanding of ongoing recovery needs, leveraging resources to maintain sobriety.

The nurse is caring for a client with suspected tracheoesophageal fistula and esophageal atresia. The nurse is most likely to observe

  • A. choking and cyanosis during feeding
  • B. concave abdomen
  • C. diminished lung sounds
  • D. projectile vomiting after feeding
Correct Answer: A

Rationale: Tracheoesophageal fistula and esophageal atresia prevent normal swallowing, leading to pooling of saliva and excessive salivation. Abdominal distension or vomiting may occur in some cases, but salivation is the most consistent sign. Diminished lung sounds are less specific.

The nurse is caring for a woman who has diabetic neuropathy. The nurse knows that the client needs more instruction when the client makes which statement?

  • A. I'll use a hot water bottle if my feet hurt.'
  • B. I should dry my feet and toes carefully.'
  • C. I go to the podiatrist to have my toenails cut.'
  • D. The Tegretol seems to help my leg pain.'
Correct Answer: A

Rationale: Hot water bottles can burn insensitive neuropathic feet, risking injury. Drying feet, podiatrist care, and using Tegretol for neuropathic pain are appropriate.

A nurse who is a native English speaker admits an elderly Mexican-American migrant worker after an accident that occurred during work. To facilitate communication the nurse should initially

  • A. Request a Spanish interpreter
  • B. Speak through the family or co-workers
  • C. Use pictures, letter boards, or monitoring
  • D. Assess the client's ability to speak English
Correct Answer: D

Rationale: Assess the client's ability to speak English. Despite the cultural heritage, the nurse cannot make assumptions. Stereotyping is to be avoided. The nurse should assess the client's comfort and ability in speaking English.

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