NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
A client who has been waiting for several hours in the clinic waiting room suddenly begins to shout, 'I need some attention and I need it now!' How should the nurse respond initially?
Correct Answer: C
Rationale: Engaging the client to assess her needs de-escalates agitation and addresses concerns. Silencing, calling security, or explaining delays may escalate tension.
Question 2 of 5
The nurse is caring for a client with rheumatoid arthritis. Which of the following lifestyle modifications should the nurse recommend to the client?
Correct Answer: B,C,E
Rationale: Rest (
B), range-of-motion exercises (
C), and moist heat (E) manage rheumatoid arthritis symptoms. Ice (
A) can reduce inflammation, and a pillow under knees (
D) may worsen stiffness.
Question 3 of 5
The nurse is preparing to administer IV furosemide to a client with chronic kidney disease. The nurse should administer the medication slowly to prevent
Correct Answer: B
Rationale: Rapid IV furosemide can cause ototoxicity (
B) in CKD patients due to drug accumulation. Oliguria (
A) is already present, and furosemide does not typically cause bradycardia (
C) or hypertension (
D).
Question 4 of 5
The client with a colostomy does not feel that the irrigating solution has drained completely. The nurse can enhance the effectiveness of the colostomy irrigation by telling the client to:
Correct Answer: A
Rationale: Gentle abdominal massage can stimulate peristalsis and help the irrigation solution drain completely from the colostomy. Reducing solution or using a heating pad is not standard, and increasing oral intake is unrelated.
Question 5 of 5
The nurse is preparing to take a toddler's blood pressure for the first time. Which of the following actions should the nurse perform first?
Correct Answer: D
Rationale: Permit handling the equipment before putting the cuff in place. The best way to gain the toddler's cooperation is to encourage handling the equipment. Detailed explanations are not helpful.