NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client being discharged from the cardiac step-down unit following a myocardial infarction (MI), is given a prescription for a beta-blocking drug. A nursing student asks the charge nurse why this drug would be used by a client who is not hypertensive. What is an appropriate response by the charge nurse?
Correct Answer: C
Rationale: One action of beta-blockers is to decrease systemic vascular resistance by dilating arterioles. This is useful for the client with coronary artery disease, and will reduce the risk of another MI or sudden death.
Question 2 of 5
A nurse is providing care for an elderly patient with dementia. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: A structured routine reduces confusion and anxiety in dementia, promoting safety and comfort. Complex decisions overwhelm, social interactions are beneficial, and physical activity supports health.
Question 3 of 5
The nurse is caring for a client with a history of seizures who is prescribed phenytoin (Dilantin). Which of the following side effects should the nurse monitor for?
Correct Answer: B
Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. Weight gain (
A), hypoglycemia (
C), and hair loss (
D) are not typical side effects of phenytoin.
Question 4 of 5
A client being discharged from the cardiac step-down unit following a myocardial infarction (MI), is given a prescription for a beta-blocking drug. A nursing student asks the charge nurse why this drug would be used by a client who is not hypertensive. What is an appropriate response by the charge nurse?
Correct Answer: C
Rationale: One action of beta-blockers is to decrease systemic vascular resistance by dilating arterioles. This is useful for the client with coronary artery disease, and will reduce the risk of another MI or sudden death.
Question 5 of 5
The nurse is caring for an adult who had abdominal surgery yesterday. When the nurse encourages the client to take some deep breaths and cough, the client tells the nurse, 'It hurts when I cough. I just can't do it.' What is the nurse's best response?
Correct Answer: C
Rationale: Splinting the incision with a pillow reduces pain during coughing, promoting effective lung expansion to prevent pneumonia.