NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A client with a nasogastric tube has just returned from the recovery room after gastric surgery. Which report made by the client is essential to pass on to the physician or charge nurse?
Correct Answer: D
Rationale: Bright red, bloody drainage indicates potential hemorrhage, requiring immediate reporting to the physician.
Question 2 of 5
If a known substance abuser presents to the emergency department with tachycardia and chest pain, what is the most appropriate question for the nurse to ask?
Correct Answer: A
Rationale: Cocaine is most likely to cause tachycardia and chest pain due to its stimulant effects, making this the most relevant question.
Question 3 of 5
A client with a history of atrial fibrillation is prescribed warfarin. Which INR range is therapeutic for this condition?
Correct Answer: B
Rationale: An INR of 2.0–3.0 is therapeutic for atrial fibrillation to prevent thromboembolism.
Question 4 of 5
The nurse is assessing a client with suspected meningitis. Which finding is most concerning?
Correct Answer: A
Rationale: Nuchal rigidity (stiff neck) is a hallmark sign of meningitis, indicating potential meningeal irritation.
Question 5 of 5
The nurse is teaching the client and the family members about protection measures when the client, diagnosed with AIDS, returns home. Which instruction indicates that the nurse is unclear about the disease transmission?
Correct Answer: C
Rationale: A. This is the correct formula for mixing a bleach solution for disinfection. B. Placing contaminated items in a plastic bag and then in the garbage is the correct method for disposing of contaminated articles. Sharps should first be placed in a rigid labeled container (such as a tin can), bleach solution added, the lid taped, and then placed in a bag for disposal in the garbage. C. Because sharing eating utensils does not transmit HIV, it is unnecessary to separately wash dishes and silverware used by the client. The client is prone to opportunistic and other infections. D. Cleaning with soap and water and then disinfecting with bleach solution is the correct method for cleaning body fluid spills.