NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A patient is prescribed warfarin (Coumadin) for atrial fibrillation. Which of the following lab values should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: C
Rationale: Warfarin’s anticoagulant effect is monitored via PT/INR, which assesses clotting time and therapeutic range for atrial fibrillation (typically INR 2.0–3.0). Platelet count, hemoglobin, and aPTT are not primary indicators for warfarin.
Question 2 of 5
The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?
Correct Answer: D
Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.
Question 3 of 5
An adult who is undergoing diagnostic tests to diagnose a possible malignancy angrily says to the nurse, 'You don't know anything. I want someone competent caring for me.' What is the best initial nursing response?
Correct Answer: B
Rationale: Acknowledging the client's distress validates their feelings, de-escalating anger and fostering therapeutic communication.
Question 4 of 5
Which of the following nursing diagnoses might be appropriate as Parkinson's disease progresses and complications develop?
Correct Answer: A
Rationale: Parkinson's disease leads to motor symptoms like rigidity and shuffling gait, causing impaired physical mobility. The other diagnoses are not typically associated with Parkinson's disease complications. Reduction of Risk Potential
Extract:
The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.
Question 5 of 5
The nurse should immediately:
Correct Answer: B
Rationale: Low urine output suggests renal or fluid issues, requiring vital signs and breath sound assessment.