NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
A nurse massages the uterus of a postpartum client. Which assessment finding best indicates that the intended effect of this nursing action has been achieved?
Correct Answer: B
Rationale: Uterine massage prevents postpartum hemorrhage by promoting uterine firmness (contraction), indicating effective action.
Question 2 of 5
The client, with known benign prostatic hyperplasia (BPH), telephones the clinic nurse with concerns of increased urinary frequency and urgency after having a cold that started a few days ago- Which question should the nurse immediately ask the client?
Correct Answer: C
Rationale: A. Clients with BPH should maintain fluid intake at normal levels to prevent dehydration. Drinking large amounts of water, however, could lead to bladder distention, which would result in abdominal discomfort. B. Increased exercise will not alter BPH symptoms. C. Compounds found in common cough and cold remedies, such as pseudoephedrine and phenylephrine, are alpha-adrenergic agonists that cause smooth muscle contraction. Since the bladder is a smooth muscle, these medications may increase symptoms of urinary urgency and frequency. D. Increased amounts of alcohol and caffeine can increase BPH symptoms, but dairy products should not affect BPH symptoms.
Question 3 of 5
A friend shares with a nurse about being engaged to be married. The nurse knows that the friend's fiancé has tested positive for human immunodeficiency virus (HIV). What is the nurse legally obligated to do?
Correct Answer: D
Rationale: HIPAA mandates confidentiality of the fiancé's HIV status, requiring the nurse to safeguard this information.
Question 4 of 5
The nurse is teaching a client about warfarin (Coumadin) therapy. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Ibuprofen increases bleeding risk with warfarin; the client should use acetaminophen, indicating a need for further teaching.
Question 5 of 5
A client with a history of chronic lymphocytic leukemia is at risk for infection. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: Frequent handwashing reduces infection risk in immunocompromised clients.