NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The client tells the nurse he has trigeminal neuralgia. What would the nurse expect in the client's history?
Correct Answer: B
Rationale: Trigeminal neuralgia causes severe facial pain, often triggered by stimuli like cold air, unlike lead exposure, ambulation issues, or leg pain.
Question 2 of 5
A client is complaining of difficulty walking secondary to a mass in the foot. The nurse should document this finding as:
Correct Answer: D
Rationale: Morton's neuroma is a benign mass in a digital nerve of the foot, causing pain and difficulty walking. The other conditions involve different foot pathologies. Basic Care and Comfort
Question 3 of 5
The nurse is monitoring a client's EKG strip and notes coupled premature ventricular contractions greater than 10 per minute. The nurse should expect to administer which of the following?
Correct Answer: D
Rationale: Lidocaine is the drug of choice for frequent (>6–10/min) or coupled premature ventricular contractions (PVCs), as it suppresses ventricular arrhythmias and prevents ventricular tachycardia. Atropine (
A) treats bradycardia, isoproterenol (
B) is used for heart block, and verapamil (
C) is a calcium-channel blocker for supraventricular arrhythmias.
Question 4 of 5
An adult asks the nurse why she must have her skin shaved prior to surgery. What is the best nursing response? Reducing the hair by shaving:
Correct Answer: A
Rationale: Shaving reduces infection risk by removing hair, which can harbor bacteria, the primary rationale for preoperative skin preparation.
Question 5 of 5
The nurse is preparing to discharge a client with a new diagnosis of atrial fibrillation. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Monitoring pulse regularly helps detect irregular rhythms or rate changes in atrial fibrillation, aiding early intervention. Caffeine (
A) moderation is advised, vigorous exercise (
B) may be unsafe, and aspirin (
C) requires a prescription.