NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The female nurse is sitting across a table from the Latino male she has been educating about testicular self-examination. When the client successfully verbalizes the process, the nurse excitedly praises the client, leans over the table, and makes the "OK" sign with her thumb and forefinger. The client angrily gets up and abruptly leaves the room. What likely caused the client's abrupt departure?
Correct Answer: C
Rationale: A. Since the client had participated in the discussion up to the point of the nurse's actions, he obviously was not uncomfortable with the discussion. B. A Latino is usually not uncomfortable with close personal space; some Latinos perceive Anglos as distant because they prefer more personal space during a conversation. C. In much of Latin America, the North American "OK" sign (i.e., pinched thumb and forefinger) may be considered obscene. D. Anger and an abrupt departure are usually not behaviors displayed by the client when teaching is completed.
Question 2 of 5
Which assessment finding in a client with heart failure indicates fluid overload? Select all that apply.
Correct Answer: A,B,C,E
Rationale: Weight gain, crackles, jugular vein distention, and peripheral edema are signs of fluid overload in heart failure.
Question 3 of 5
The nurse is teaching the client about metronidazole, which has been prescribed for treating trichomoniasis. Which client comment indicates the need for additional education?
Correct Answer: B
Rationale: A. Clients may experience a metallic taste while taking metronidazole. B. Drinking alcohol while on metronidazole (Flagyl) is contraindicated. It can cause a disulfiram-like reaction with nausea, vomiting, abdominal cramps, headache, and flushing. C. Metronidazole can turn urine dark. It is important to inform clients of this. D. Nausea can occur when taking metronidazole. Taking it with food or milk may decrease GI irritation.
Question 4 of 5
The client, admitted to a surgical unit following a TURF, has a C81 running. The nurse assesses the client's urine and finds dark red urine containing several small clots. Which intervention should the nurse implement?
Correct Answer: A
Rationale: A. If the urine is dark red, the flow rate of the CBI should be increased. The purpose of the CBI is to remove clots from the bladder and to ensure drainage of urine through the urinary catheter. The flow rate of the CBI fluid should be set so that the outflow remains free from clots and remains light red to pink. B. Stopping the CBI would increase the risk that the urinary catheter would become blocked and the flow of urine interrupted. C. There is no need to manually irrigate a catheter If a C81 is flowing, unless the urinary catheter becomes obstructed. D. Deflating the urinary catheter balloon would be contraindicated because this could result in dislodging the catheter.
Question 5 of 5
The nurse is caring for a client who has just been diagnosed with sinus bradycardia. Indicate with an X the area on the illustration where the heartbeat's electrical impulse is initiated.
Correct Answer: A
Rationale: The sinoatrial (S
A) node, located in the right atrium, initiates the heartbeat's electrical impulse. (Note: No illustration provided, but SA node is the standard answer.)