NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
After the patient has refused the medication, the next step taken by the nurse will be:
Question 1 of 5
Document the patient's refusal.
Correct Answer: B
Rationale: Exploring the reason for refusal helps address concerns and promote adherence.
Extract:
Question 2 of 5
The physician has ordered crutches and specified that the client use a four-point gait. Which action by the client indicates an understanding of the four-point gait?
Correct Answer: D
Rationale: Four-point gait alternates each crutch and foot (left foot, right crutch, right foot, left crutch), providing maximum stability.
Question 3 of 5
A woman who has emphysema is on continuous oxygen therapy. She appears anxious and short of breath. Her husband increases the oxygen flow to 6 L/min. The nurse knows this action is most likely to:
Correct Answer: D
Rationale: Increasing oxygen flow in emphysema can suppress the hypoxic drive, risking respiratory depression, a serious concern.
Question 4 of 5
A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. Which of the following personnel can legally place the client in seclusion?
Correct Answer: D
Rationale: Only a registered nurse or higher (e.g., physician) can legally initiate seclusion due to the need for clinical judgment. LPNs, orderlies, and security lack this authority.
Question 5 of 5
The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimester gives a thorough health history. Which information should receive priority attention by the nurse?
Correct Answer: D
Rationale: Over-the-counter drugs are a possible danger in early pregnancy. A report by the client that she has taken medications should be followed up immediately.