NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a myocardial infarction. Which finding requires the nurse's immediate action?
Correct Answer: B
Rationale: Dizzy spells. Cardiac dysrhythmias may cause a transient drop in cardiac output and decreased blood flow to the brain. Near syncope refers to lightheadedness, dizziness, temporary confusion. Such 'spells' may indicate runs of ventricular tachycardia or periods of asystole and should be reported immediately.
Question 2 of 5
The nurse is teaching parents how to reduce the spread of impetigo. The nurse should encourage parents to:
Correct Answer: C
Rationale: The spread of childhood infections, including impetigo, can be reduced when children are taught proper hand-washing technique. Because impetigo is spread through direct contact, covering the mouth and nose when sneezing won't prevent its spread. Currently, there is no vaccine to prevent a child from contracting impetigo. Isolating the child with impetigo is unnecessary.
Question 3 of 5
The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following side effects should the nurse monitor for?
Correct Answer: C
Rationale: Nausea and vomiting are common chemotherapy side effects due to gastrointestinal irritation and require monitoring for dehydration or malnutrition. Increased appetite (
A) and energy (
D) are unlikely, and white blood cell count (
B) typically decreases (neutropenia).
Question 4 of 5
A patient is prescribed warfarin (Coumadin) for atrial fibrillation. Which of the following lab values should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: C
Rationale: Warfarin’s anticoagulant effect is monitored via PT/INR, which assesses clotting time and therapeutic range for atrial fibrillation (typically INR 2.0–3.0). Platelet count, hemoglobin, and aPTT are not primary indicators for warfarin.
Question 5 of 5
An adult is being evaluated for a possible pituitary tumor. What test(s) does the nurse expect may be ordered for this client to confirm the diagnosis? Select all that apply.
Correct Answer: C,F
Rationale: MRI visualizes pituitary tumors, and visual field tests assess optic nerve compression from tumor growth. Urine, coagulation, x-rays, or nerve studies are less specific for diagnosis.