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NCLEX PN Practice Tests Questions

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Question 1 of 5

A client is admitted to the coronary care unit with an acute myocardial infarction. The pain associated with acute myocardial infarction results from:

Correct Answer: B

Rationale: Myocardial infarction pain is caused by ischemia of the myocardium due to reduced blood flow, leading to tissue hypoxia.

Question 2 of 5

The primary nursing diagnosis for a client with congestive heart failure with pulmonary edema is

Correct Answer: C

Rationale: Cardiac output altered: decreased. Increasing cardiac output is the primary goal of therapy, improving comfort and respiratory status.

Question 3 of 5

The nurse is caring for a client with irritable bowel syndrome. Which of the following menu selections would be appropriate to offer the client?

Correct Answer: C

Rationale: Baked chicken, brown rice, and strawberries are low-FODMAP, suitable for IBS. Beans, yogurt, coffee, and broccoli are high-FODMAP, likely to trigger symptoms.

Question 4 of 5

The home health nurse is caring for an 85-year-old client. It would require immediate follow-up if the client is reporting

Correct Answer: A

Rationale: A painful red area on the buttocks suggests a pressure injury, requiring immediate intervention to prevent worsening. Edema, vision loss, and memory issues are concerning but less urgent.

Question 5 of 5

The nurse is reinforcing teaching about nutrition with the parents of a 6-year-old client with cystic fibrosis. Which recommended diet should the nurse include?

Correct Answer: A

Rationale: Cystic fibrosis requires a high-calorie, high-protein diet to support growth and compensate for malabsorption. Other diets do not meet the increased nutritional demands.

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The nurse is talking with a client who is entering the second trimester of pregnancy. Which of the following information should the nurse include? Select all that apply.
The practical nurse on the neurosurgery step-down unit is assisting the registered nurse in the care of a stable client with a closed head injury who is 1 day post-craniotomy. The practical nurse prepares to administer the 7:00 AM medications and reviews the client’s medication administration record. Which prescription prompts the practical nurse to contact the prescribing health care provider for clarification?

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