NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A nurse is providing care for an elderly patient with dementia. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: A structured routine reduces confusion and anxiety in dementia, promoting safety and comfort. Complex decisions overwhelm, social interactions are beneficial, and physical activity supports health.
Question 2 of 5
The nurse manager is discussing with the staff the facility's protocol in the event of a tornado. Which instructions would the LPN/LVN expect the nurse manager to include in the discussion? Select all that apply.
Correct Answer: B,C,D
Rationale:
Tornado safety includes moving beds away from windows to avoid glass shards, closing shades and curtains to reduce flying debris, and covering bedridden clients with blankets for protection. Opening doors increases air pressure risks, and relocating ambulatory clients to rooms may expose them to window hazards.
Question 3 of 5
A client was admitted with a diagnosis of pneumonia. When auscultating the client's breath sounds, the nurse hears inspiratory crackles in the right base. Temperature is 102.3 degrees Fahrenheit orally. What other finding would the nurse expect?
Correct Answer: C
Rationale: Mental confusion. Crackles suggest pneumonia, which is likely to be accompanied by mental confusion related to hypoxia.
Question 4 of 5
The multidisciplinary team decides to implement behavior modification with a client. Which of the following nursing actions is of primary importance during this time?
Correct Answer: A
Rationale:
To implement a behavior modification plan successfully, all staff members need to be included in program development, and time must be allowed for discussion of concerns from each nursing staff member; consistency and follow-through is important to prevent or diminish the level of manipulation by the staff or client during implementation of this program. Ensuring staff compliance promotes a unified approach, which is critical for the plan’s effectiveness.
Question 5 of 5
The nurse is assessing a client with a history of heart failure. Which of the following findings would indicate worsening heart failure?
Correct Answer: A
Rationale: Weight gain of 2 kg in 24 hours indicates fluid retention, a sign of worsening heart failure due to decreased cardiac output. Normal blood pressure (
B), heart rate (
C), and clear lungs (
D) do not suggest decompensation.