NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
Diagnosis-related groups (DRGs) provide data to
Correct Answer: C
Rationale: Determine reimbursement for a medical diagnosis. DRGs are the basis of prospective payment plans for reimbursement for Medicare clients.
Extract:
Laboratory reference ranges
INR (Therapeutic – atrial fibrillation)
2.0-3.0
Question 2 of 5
The nurse has reinforced teaching for a client with atrial fibrillation who is receiving warfarin. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: A, C
Rationale: Antibiotics affecting INR (
A) and consistent timing (
C) are correct. More leafy greens (
B) can lower INR, INR of 4-5 (
D) is too high, and doubling doses (E) is dangerous.
Extract:
Question 3 of 5
The nurse reinforces teaching about methotrexate to a client with rheumatoid arthritis. It is most important to address which topic regarding this drug?
Correct Answer: C
Rationale: Methotrexate suppresses the immune system, significantly increasing the risk for infection (
C). This is a critical teaching point to ensure the client takes precautions. Eye exams (
A), sunblock (
B), and kidney injury (
D) are less directly associated with methotrexate's primary risks.
Question 4 of 5
A nurse is reinforcing teaching to a client that breastfeeds who has been diagnosed with mastitis of the right breast. Which of the following instructions should be included? Select all that apply.
Correct Answer: B, D
Rationale: Increased fluids (
B) and ibuprofen (
D) manage dehydration and pain. Ceasing breastfeeding (
A) or reducing feeds (
C) can worsen mastitis, and tight bras (E) may increase discomfort.
Question 5 of 5
An adult is admitted with nausea, vomiting, and diarrhea. The client is receiving an IV of dextrose 5% in water with 40 mEq of KCl. The nurse knows the potassium is added to do which of the following?
Correct Answer: A
Rationale: Vomiting and diarrhea cause significant potassium loss, requiring IV potassium replacement to prevent hypokalemia.