NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a 45-year-old client with atrial fibrillation who has been receiving diltiazem. Which of the following findings would indicate that the medication has been effective?
Correct Answer: D
Rationale: Diltiazem is used in atrial fibrillation to control ventricular rate. A decrease from 158/min to 88/min indicates effective rate control. Blood pressure, chest pain, and stroke prevention are not primary indicators of diltiazem's efficacy in this context.
Question 2 of 5
The parents of a 4 year-old hospitalized child tell the nurse, 'We are leaving now and will be back at 6 PM.' A few hours later the child asks the nurse when the parents will come again. What is the best response by the nurse?
Correct Answer: A
Rationale: Time is not completely understood by a 4 year-old. Preschoolers interpret time with their own frame of reference. Thus, it is best to explain time in relationship to a known, common event.
Question 3 of 5
An adult who is hospitalized with congestive heart failure is receiving an intravenous infusion. The nurse is checking the IV. Which of the following is of greatest concern to the nurse?
Correct Answer: A
Rationale: The insertion site is critical to assess for infection, infiltration, or phlebitis, the greatest concern to prevent IV complications in heart failure.
Question 4 of 5
The nurse is talking with the family of an 18 months-old newly diagnosed with retinoblastoma. A priority in communicating with the parents is
Correct Answer: A
Rationale: Discuss the need for genetic counseling. The hereditary aspects of this disease are well documented. While the parents focus on the needs of this child, they should be aware that the risk is high for future offspring.
Question 5 of 5
In taking the history of a pregnant woman, which of the following would the nurse recognize as the primary contraindication for breast feeding?
Correct Answer: D
Rationale: Use of cocaine on weekends. Cocaine use is harmful to the breastfed infant, even with intermittent use.