NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
The patient is taking antidepressant drug, Elavil. The spouse of the patient complains that the dosage of the drug needs to be increased because no improvement is noted. The patient has been taking the drug for the last 3 days and no improvement is noted.
Question 1 of 5
The most appropriate nursing response would be:
Correct Answer: B
Rationale: Elavil, a tricyclic antidepressant, typically takes 3–4 weeks to show therapeutic effects.
Extract:
When a patient return from the recovery room following a subtotal thyroidectomy, the nurse should immediately
Question 2 of 5
inspect the incision.
Correct Answer: D
Rationale: Thyroid surgery sometimes results in accidental removal of the parathyroid glands. A resultant hypocalcemia may lead to contraction of the glottis, causing airway obstruction; edema also causes obstruction. Having a tracheostomy set ready is critical.
Extract:
Question 3 of 5
The nurse is assessing a client with a history of asthma who presents with decreased breath sounds and prolonged expiration. The nurse should prioritize which of the following actions?
Correct Answer: A
Rationale: Decreased breath sounds and prolonged expiration indicate an asthma exacerbation with bronchoconstriction, requiring a bronchodilator to open airways. Coughing (
B) is ineffective during an attack, X-rays (
C) are diagnostic, and supine positioning (
D) worsens breathing.
Question 4 of 5
A client states, 'I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?' The nurse should respond with which of the following statements?
Correct Answer: D
Rationale: All listed actions—adequate sleep, self-breast exams, and stress reduction—contribute to cancer prevention by supporting immune function, early detection, and overall health. Health Promotion and Management
Question 5 of 5
An adult is scheduled for a cardioversion next week. What should the nurse plan to include when teaching the client about the procedure?
Correct Answer: A
Rationale: Cardioversion requires sedation, so the client must be NPO for 8 hours to prevent aspiration. The client is sedated, not awake, it's not typically repeated monthly, and it's used for atrial arrhythmias, not ventricular fibrillation.