NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with chronic heart failure. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Daily weight tracks fluid status, diuretics reduce overload, fluid restriction prevents exacerbation, and activity improves cardiac function. High-sodium diets worsen heart failure.
Question 2 of 5
A nurse is assessing a patient who has been receiving morphine for pain management. Which of the following findings indicates a need for immediate intervention?
Correct Answer: C
Rationale: A respiratory rate of 10 breaths per minute indicates respiratory depression, a life-threatening side effect of morphine, requiring immediate intervention (e.g., naloxone). Drowsiness, constipation, and nausea are expected but less urgent.
Question 3 of 5
An 8-year-old boy has just had a fiberglass cast applied to his right lower leg following a fractured ankle. The nurse is discussing care of the cast with the parents. Which instruction should be included?
Correct Answer: B
Rationale: Checking toes for warmth ensures circulation, detecting complications like compartment syndrome early. Bathing, drying time, and leg position are incorrect for fiberglass casts.
Question 4 of 5
A 28-year-old client is being treated with acute pelvic inflammatory disease. Which of the following positions will afford the most comfort for this client?
Correct Answer: C
Rationale: Semi-Fowler's position reduces pelvic pressure and promotes comfort in clients with pelvic inflammatory disease.
Question 5 of 5
The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?
Correct Answer: B
Rationale: The best time for a breast self-exam (BSE) is a week after a menstrual cycle, when the breasts are no longer swollen and tender due to hormone elevation.