NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
A female client is admitted for a breast biopsy. She says, tearfully to the nurse, 'If this turns out to be cancer and I have to have my breast removed, my partner will never come near me.' The nurse's best response would be which of these statements?
Correct Answer: D
Rationale: This is a general lead-in type of response that encourages further discussion without focusing on an area that the nurse, but possibly not the client, feels is a problem.
Question 2 of 5
The nurse is caring for a client who had a surgical excision and biopsy of a tumor. The biopsy results show that the tumor is malignant, but the client has not yet been informed by the health care provider. The client asks the nurse, 'Am I going to die?' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: A
Rationale: Exploring the client's feelings is supportive and appropriate, as the nurse should not disclose results before the provider.
Question 3 of 5
An infant with Tetralogy of Fallot is discharged with a prescription for Lanoxin (digoxin) elixir. The nurse should instruct the mother to:
Correct Answer: B
Rationale: The calibrated dropper ensures accurate dosing of digoxin, which is critical due to its narrow therapeutic range. Other methods risk incorrect dosing.
Extract:
Intake and output record
Emesis 120 mL
Wet diaper 1 50 g
Wet diaper 2 52 g
Wet diaper 3 46 g
*Weight of a dry diaper = 30 g
Intake and output record
Question 4 of 5
The nurse is calculating a client's intake and output for the shift. How many mL should the nurse record as the client's output?
Correct Answer: 208
Rationale: Emesis (120 mL) plus diaper output (50-30=20 mL, 52-30=22 mL, 46-30=16 mL) totals 120+20+22+16=208 mL.
Extract:
Question 5 of 5
The nurse is caring for a client admitted 3 days ago with bacterial pneumonia who has become short of breath, restless, and difficult to rouse. Which additional finding indicates to the nurse that the client may be developing sepsis?
Correct Answer: A
Rationale: Prolonged capillary refill time suggests poor perfusion, a sign of sepsis, requiring immediate intervention.