NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is caring for a client with leukemia who is receiving the drug doxorubicin (Adriamycin). Which, if occurred, would be reported to the charge nurse immediately due to the toxic effects of this drug?
Correct Answer: A
Rationale: This drug can cause cardiotoxicity exhibited by changes in the ECG and congestive heart failure. Rales and distended neck veins are clinical manifestations of congestive heart failure, so answer A is correct. A reddish discoloration to the urine is a harmless side effect, so answer B is incorrect. An elevated BUN and dry, flaky skin are not specific to this drug, so answers C and D are incorrect.
Question 2 of 5
The nurse has reinforced teaching with a client with newly diagnosed polycythemia vera. Which of the following statements by the client would require follow-up?
Correct Answer: A
Rationale: Iron supplements (
A) can worsen polycythemia vera by increasing red blood cell production, requiring follow-up. Increased fluids (
B), phlebotomy (
C), and aspirin (
D) are appropriate.
Question 3 of 5
The nurse working on a pediatric oncology unit recognizes which as a personal coping strategy for remaining effective when caring for dying children?
Correct Answer: D
Rationale: Increasing exercise (
D) is a healthy coping strategy to manage stress. Attending memorials (
A), avoiding grief expression (
B), or ending contact (
C) may not promote long-term emotional resilience.
Question 4 of 5
The nurse is reinforcing teaching for a client with atrial fibrillation who has a new prescription for warfarin. Which of the following statements by the client would require follow-up?
Correct Answer: B
Rationale: Avoiding all green leafy vegetables (
B) is incorrect; consistent intake is needed to maintain stable INR. Avoiding aspirin (
A), caffeine (
C), and consulting about supplements (
D) are correct.
Question 5 of 5
The nurse is giving home care to a 69-year-old client who has severe arthritis. Which comment made by the client would indicate to the nurse that the client is experiencing normal changes associated with the aging process?
Correct Answer: C
Rationale: Feeling cold and preferring a warmer environment is a normal age-related change due to decreased thermoregulation. Pain, loose stools, and visual changes may indicate pathology requiring further investigation.