NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client with sickle cell disease is admitted with a diagnosis of pneumonia. Which nursing intervention would be most helpful to prevent a vasocclusive crisis?
Correct Answer: D
Rationale: Hydration is needed to prevent slowing of blood flow and occlusion. It is important to perform the assessments in answers A, B, and C, but D is the best intervention for the prevention of the crisis.
Question 2 of 5
A 3 year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, skin hot to touch, sits leaning forward, tongue protruding, drooling and suprasternal retractions. What should the nurse do first?
Correct Answer: D
Rationale: These findings suggest a medical emergency and may be due to epiglottitis. Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate attention in a facility equipped to perform intubation or a tracheostomy in the event of further or complete obstruction.
Extract:
Danielle Knetchel, 32 years old, experiences diarrhea after eating in the restaurant. She went to the clinic and the physician prescribed anti-diarrheal drug, a narcotic that causes dryness of the mouth.
Question 3 of 5
Which of the following drugs was given to Danielle?
Correct Answer: D
Rationale: Lomotil, a narcotic antidiarrheal, causes dry mouth as a side effect.
Extract:
Question 4 of 5
During a first aid class, the nurse instructs clients on the emergency care of second-degree burns. The nurse knows that which of the following interventions for second-degree burns of the chest and arms will BEST prevent infection?
Correct Answer: B
Rationale: After extinguishing the fire, removing clothing and wrapping the victim in a clean sheet prevents contamination and infection in second-degree burns. Soap or ointments (A,
C) are contraindicated in emergencies, and delaying action (
D) increases infection risk.
Question 5 of 5
The nurse is caring for a client with a history of atrial fibrillation who is prescribed warfarin (Coumadin). Which of the following instructions should the nurse include in the client’s teaching?
Correct Answer: A
Rationale: Warfarin’s effect is influenced by vitamin K in green leafy vegetables, so consistent intake maintains stable INR levels. Activity (
B) is encouraged, timing (
C) is flexible, and stopping for bruising (
D) requires physician consultation.