Free Practice Questions for NCLEX NCLEX-PN Exam

Cold applications are believed to produce vasoconstriction and reduce development of edema. Disability and

pain are anticipated to increase during the first 2–3 hours after injury. Progressive passive and active exercises

may begin in 2–5 days, according to the physician’s recommendation. A sprain is a traumatic injury to the

tendons, muscles, or ligaments around a joint, characterized by pain, swelling, and discoloration of the skin over

the joint. The duration and severity of the symptoms vary with the extent of damage to the supporting tissues.

Treatment requires support, rest, and alternating cold and heat. X-ray pictures are often indicated to be certain

that no fracture has occurred.Physiological Adaptation

The nurse must be aware of cultural practices that resemble child abuse. These practices include coining, cupping, and fallen fontanella. Coining and cupping are thought to draw infections from the body. Coining involves rubbing a heated coin on the chest and torso and might cause bruising. Cupping uses heated glasses that can produce erythematous and ecchymotic rounded lesions or linear streaks on the body from the suction. Fallen fontanella involves turning a child upside down to correct a depressed fontanelle; it can cause vomiting, diarrhea, and dehydration in infants. Retinal hemorrhages can also occur, and sometimes Shaken-Baby Syndrome is erroneously diagnosed.Psychosocial Integrity

A full bladder is required to serve as a landmark to define pelvic organs. No sedation is given, so the client

may drive herself home after the test.Reduction of Risk Potential

Displacement unconsciously transfers emotions associated with a person, object, or situation to another lessthreatening person, object, or situation. The nurse slammed doors instead of striking the promoted nurse or the administrator who made the promotion decision. Sublimation is the unconscious process of substituting constructive activity for unacceptable impulses. This choice cannot be considered correct because the slamming of the cupboard doors cannot be considered a constructive activity. Conversion involves unconsciously transforming anxiety into a physical symptom. Reaction formation keeps unacceptable feelings or behaviors out of awareness by using the opposite feeling or behavior.Psychosocial Integrity

Syphilis is an acute and chronic treponemal disease characterized clinically by a primary lesion, a secondary

eruption involving skin and mucous membranes, long periods of latency, and late lesions of skin, bone viscera, the

CNS, and the cardiovascular system. The primary lesion (chancre) appears about three weeks after exposure as an

indurated, painless ulcer with serous exudate at the site of initial invasion. Invasion of the bloodstream precedes

development of the initial lesion, and a firm, nonfluctuant, painless lymph node (bubo) commonly follows.

Infection might occur without a clinically evident chancre; that is, it might be in the rectum or on the cervix. After

four–six weeks, even without specific treatment, the chancre begins to involute, and, in approximately one-third of

untreated cases, a generalized secondary eruption appears, often accompanied by mild constitutional symptoms.

This symmetrical maculopapular rash involving the palms and soles, with associated lymphadenopathy is classic.

Secondary manifestations resolve spontaneously within weeks to 12 months. Again, about one-third of untreated

cases of secondary syphilis become clinically latent for weeks to years. In the early years of latency, infectious

lesions of the skin and mucous membranes might recur. Specific treatment includes long-acting penicillin G

(benzathine penicillin), 2.4 million units given in a single IM dose on the day that primary, secondary or early

latent syphilis is diagnosed. This ensures effective therapy, even if the client fails to return. Serologic testing is

important to ensure adequate therapy. Tests are repeated three and six months after treatment and later as needed.

In HIV-infected clients, testing should be repeated one, two, and three months after treatment, and at three-month

intervals thereafter. Any fourfold titer rise indicates the need for retreatment.Physiological Adaptation

The culturally sensitive response is to notify the physician of the family member’s wishes and to determine whether it is feasible. Ginkgo biloba has been shown to be of some benefit in treating dementia. The other statements are not culturally sensitive.Reduction of Risk Potential

It might take several weeks of therapy for the client with Parkinson’s disease to see improvement in symptoms.

Choice 1 is also true but is not the best response to the question. Choice 2 might be indicated but is not the best

response to the question. Choice 3 is incorrect.Physiological Adaptation

Crying is a regressive behavior. The ego returned to an earlier, comforting, and less-mature way of behaving in the face of disappointment. Conversion involves the transformation of anxiety into a physical symptom. Introjection involves intense unconscious identification with another person. Rationalization involves the unconscious process of developing acceptable explanations to justify unacceptable ideas, actions, or feelings.Psychosocial Integrity

Jaundice turns the skin yellow. The other skin colors are not symptoms of jaundice.Physiological Adaptation

Safety demands that a client be transferred to a facility that can deliver care equal to the hospital.Basic Care

and Comfort

A soft toothbrush is less likely to cause the gums to bleed than a stiff one. So many white cells are produced in

clients with leukemias that other cell types (like platelets) are crowded out, putting the client at risk for bleeding.

Choice 2 is incorrect because dental floss is contraindicated; it can make the gums bleed. Choice 3 is incorrect

because when clotting is impaired, pressure should be held for 5–10 minutes or longer, until the bleeding stops.

Choice 4 is incorrect because an electric razor should be used to prevent small cuts.Physiological Adaptation

Caffeine might increase heart rate that is already stressed due to pregnancy. Sodium can cause fluid retention. Both might need to be restricted. The other choices are incorrect because calories, fat, and protein are not usually decreased due to the risk of nutrient deficiencies.Basic Care and Comfort

The method of splinting is always dictated by the severity of the client’s condition and the priority decision.

Basic Care and Comfort

Immediately postop abdominal surgery, the NG tube keeps the stomach decompressed to prevent surgical-site

disruption and fluid loss through vomiting.Basic Care and Comfort

Sex role identification begins during infancy. Infants can identify body parts by the end of the first year. Preschoolers frequently engage in masturbation and sex play with peers. School-age children continue to gain awareness of their sexual identity. During this time they might continue to masturbate and engage in sex play. They might add behaviors such as hugging and kissing members of the opposite sex. Adolescent sex role identification is largely influenced by sexual maturation and trying out or assuming a sex role.Health Promotion and Maintenance