NCLEX NCLEX-PN
2024 PN NCLEX Questions
1. A patient reports, “I tore 3 of my 4 Rotator cuff muscles in the past.” Which of the following muscles cannot be considered as possibly being torn?
- A. Teres minor
- B. Teres major
- C. Supraspinatus
- D. Infraspinatus
Correct answer: Teres major
Rationale: The correct answer is Teres major. The Rotator Cuff consists of Teres Minor, Infraspinatus, Supraspinatus, and Subscapularis muscles, not Teres major. Teres major is not part of the rotator cuff, so it cannot be considered as possibly being torn. The other choices, Teres minor, Supraspinatus, and Infraspinatus, are all part of the Rotator Cuff and could potentially be torn in this patient's case.
2. A client with schizophrenia and his parents are meeting with the nurse. One of the young man's parents says to the nurse, 'We were stunned when we learned that our son had schizophrenia. He was no different from his older brother when they were growing up. Now he's had another relapse, and we can't understand why he stopped his medication.' Which response by the nurse is appropriate?
- A. Telling the parents, 'Medication noncompliance is the most frequent reason that people with this diagnosis relapse.'
- B. Telling the parents, 'Well, it's his decision to take his medicine, but it's yours to have him live with you if he stops the medication.'
- C. Asking the client, 'How can we help you to take your medicine or to tell us when you're having problems so that your medication can be adjusted?'
- D. 'Your concerns are appropriate, but I wonder whether your son was having trouble telling someone that he had concerns about his medication.'
Correct answer: Asking the client, 'How can we help you to take your medicine or to tell us when you're having problems so that your medication can be adjusted?'
Rationale: The appropriate response is to ask the client how they can be helped in taking their medication or sharing problems to adjust the medication. This approach promotes direct communication with the client, allowing for better assessment of the situation and understanding the client's motivations and behaviors. It also encourages openness and mutual communication between the client and their family. Choice A provides important information about noncompliance as a common reason for relapse but lacks a therapeutic approach by not facilitating emotional expression. Choice B uses a threatening message and is nontherapeutic. Choice D prematurely analyzes the client's motivations without sufficient assessment and lacks a therapeutic communication style.
3. Which of the following is not one of the four categories related to client care plans?
- A. privacy
- B. evaluation
- C. diagnosis
- D. outcome
Correct answer: privacy
Rationale: The four categories related to client care plans are diagnosis, intervention, outcome, and evaluation. Privacy is not typically considered a distinct category in client care plans, as it is more of a fundamental aspect that underlies all care provided to clients. Choices B, C, and D are directly related to the components of client care plans, making them incorrect answers in this context.
4. The nurse is making assignments for the day. Which client should be assigned to the nursing assistant?
- A. A client with Alzheimer’s disease
- B. A client with pneumonia
- C. A client with appendicitis
- D. A client with thrombophlebitis
Correct answer: A client with Alzheimer’s disease
Rationale: The client with Alzheimer’s disease is the most stable among the clients listed and can be appropriately assigned to the nursing assistant. Nursing assistants are capable of providing care such as feeding and assisting with activities of daily living for individuals with Alzheimer's disease. Clients with pneumonia, appendicitis, and thrombophlebitis are less stable and necessitate the expertise of a registered nurse for accurate assessment and interventions. Therefore, the nursing assistant can effectively care for the client with Alzheimer’s disease while ensuring that the other clients receive the necessary level of care from a registered nurse.
5. A client turns her ankle. She is diagnosed as having a Pulled Ligament. This should be documented as a:
- A. sprain.
- B. strain.
- C. subluxation.
- D. dislocation.
Correct answer: sprain.
Rationale: A sprain is the correct term for the excessive stretching of a ligament, which is what happens when a ligament is pulled. A strain involves muscle tissue. Subluxation refers to a partial dislocation, and dislocation is a complete displacement of bones in a joint. In this case, since it's a pulled ligament, the most appropriate term is a sprain.
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