NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client has just been diagnosed with breast cancer. The nurse enters the room and the client tells the nurse that she is stupid. What is the most therapeutic response by the nurse?
Correct Answer: A
Rationale: Exploring feelings with the verbally aggressive client helps to put angry feelings into words and then to engage in problem solving.
Question 2 of 5
Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?
Correct Answer: C
Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Stopping antihypertensive medication when blood pressure normalizes risks rebound hypertension, indicating a need for further teaching. Daily timing (
A), reporting side effects (
C), and continued use (
D) reflect proper understanding.
Question 4 of 5
A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?
Correct Answer: D
Rationale: Subdural hematoma and cerebral edema initially cause a decreased level of consciousness (e.g., confusion, stupor) due to increased intracranial pressure (ICP). Unequal pupils (
A), decerebrate posturing (
B), and seizures (
C) are later signs of severe ICP or brainstem damage.
Question 5 of 5
The nurse is caring for a client with a history of heart failure who is receiving furosemide (Lasix). Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, increasing the risk of arrhythmias in heart failure patients, so serum potassium must be monitored closely. Glucose (
B), cholesterol (
C), and hemoglobin (
D) are not directly affected by furosemide.