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PN NCLEX Practice Exam Questions

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Question 1 of 5

The nurse is caring for a client who has acute pericarditis. Which of the following findings would be a priority to follow up?

Correct Answer: B

Rationale: Muffled heart tones and jugular venous distension (
B) suggest pericardial effusion or tamponade, a life-threatening complication requiring urgent follow-up. Chest pain (
A) and friction rub (
C) are expected, and mild fever (
D) is less urgent.

Question 2 of 5

The nurse assesses a client who has been re-admitted to the psychiatric inpatient unit for schizophrenia. His symptoms have been managed for several months with fluphenazine (Prolixin). Which should be a focus of the first assessment?

Correct Answer: B

Rationale: Medication compliance. Ensuring adherence to fluphenazine is critical for symptom management in schizophrenia.

Question 3 of 5

The nurse is reinforcing teaching to the parent of a child recently diagnosed with attention deficit hyperactivity disorder, combined type. Which statement by the parent requires intervention?

Correct Answer: C

Rationale: ADHD often persists into adulthood, so stating it will be outgrown by age 20 (
C) is incorrect and requires intervention. Limiting choices (
A), advocating for an IEP (
B), and focusing during conversations (
D) are appropriate.

Question 4 of 5

The nurse is caring for a client who is experiencing the cardiac rhythm in the ECG strip shown below. The nurse should recognize that the client is experiencing

Question Image

Correct Answer: C

Rationale: Without the ECG strip, normal sinus rhythm (
C) is assumed for a stable client, characterized by regular P waves, QRS complexes, and a rate of 60-100 bpm. Other options indicate abnormal rhythms.

Question 5 of 5

The family of an 88-year-old woman who was admitted with severe dehydration says to the nurse, 'Why don't you just tie down her arms so she won't try to get out her IV?' What is the best response for the nurse to make?

Correct Answer: C

Rationale: Assessing mental status and safety needs determines if restraints are necessary, prioritizing least restrictive measures.

Similar Questions

A nurse is providing care to a group of postpartum clients. Which client comment should prompt further investigation?
The nurse is caring for a client who has acute pericarditis. Which of the following findings would be a priority to follow up?
The nurse is preparing to irrigate the wound of a 7-year-old client who sustained a laceration while on a playground. Which of the following actions should the nurse take? Select all that apply.
The clinic nurse is caring for a client who had cataract surgery with intraocular lens implantation 2 days ago. Which client report requires priority intervention?
An adolescent client comes to the clinic 3 weeks after the birth of her first baby. She tells the nurse she is concerned because she has not returned to her pre-pregnant weight. Which action should the nurse perform first?

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