NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of atrial fibrillation who is prescribed warfarin (Coumadin). Which of the following instructions should the nurse include in the client’s teaching?
Correct Answer: A
Rationale: Warfarin’s effect is influenced by vitamin K in green leafy vegetables, so consistent intake maintains stable INR levels. Activity (
B) is encouraged, timing (
C) is flexible, and stopping for bruising (
D) requires physician consultation.
Question 2 of 5
A 3 year-old child comes to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, skin hot to touch, sits leaning forward, tongue protruding, drooling and suprasternal retractions. What should the nurse do first?
Correct Answer: D
Rationale: These findings suggest a medical emergency and may be due to epiglottitis. Any child with an acute onset of an inflammatory response in the mouth and throat should receive immediate attention in a facility equipped to perform intubation or a tracheostomy in the event of further or complete obstruction.
Extract:
The family of a terminally-ill client asks the nurse to help them end the suffering of her loved ones.
Question 3 of 5
Which of the following would be the most appropriate response by the nurse?
Correct Answer: B
Rationale: Euthanasia violates nursing ethics, and this response clearly communicates the ethical stance.
Extract:
Question 4 of 5
A woman had a hysterectomy this morning. She asks the nurse why she has to wear 'these uncomfortable stockings on my legs.' How should the nurse reply?
Correct Answer: D
Rationale: Compression stockings prevent deep vein thrombosis by promoting venous return, critical post-surgery.
Extract:
A client's monitor shows a PQRST wave for each beat and indicates a rate of 120. The rhythm is regular.
Question 5 of 5
The nurse should note that the client is experiencing:
Correct Answer: B
Rationale: A regular rhythm with a rate of 120 and normal PQRST waves indicates sinus tachycardia.