NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is contributing to the plan of care for a client with pertussis. Which of the following interventions should the nurse suggest including in the client's plan of care? Select all that apply.
Correct Answer: A, B, E
Rationale: Monitoring respiratory effort (
A), droplet precautions (
B), and frequent fluids (E) manage pertussis symptoms and transmission. Negative pressure rooms (
C) are for airborne diseases, and cough suppressants (
D) may worsen mucus clearance.
Question 2 of 5
The nurse is caring for a client with polycythemia vera. Which of the following actions should the nurse take? Select all that apply.
Correct Answer: A, B, C
Rationale: Increased fluids (
A), phlebotomy (
B), and aspirin (
C) manage polycythemia vera by reducing blood viscosity and clotting risk. Leg elevation (
D) is irrelevant, and iron supplementation (E) worsens the condition.
Question 3 of 5
The nurse caring for a 2-year-old client should expect the child to be able to perform which of the following actions? Select all that apply.
Correct Answer: C, D, E
Rationale: A 2-year-old can kick a ball (
C), use 2-word phrases (
D), and walk without help (E). Drawing a square (
A) and hopping on one foot (
B) are skills typically developed later.
Question 4 of 5
The nurse is providing home care for a client with heart failure and pulmonary edema. Which nursing diagnosis should have priority in planning care?
Correct Answer: B
Rationale: Activity intolerance related to oxygen supply and demand imbalance. This is the primary problem due to decreased cardiac output related to heart failure. There is a reduction of oxygen, leading to findings of dyspnea and fatigue.
Question 5 of 5
The LPN/LVN is providing home care to an elderly widow who has senile dementia. The woman tells the nurse that her daughter hits her and tells her to shut up. The nurse notes one ecchymotic area on the client's right forearm. The daughter seems attentive to the woman when the nurse is present. What action should the nurse take?
Correct Answer: D
Rationale: Reporting suspected abuse to the supervisor initiates investigation and protection, the appropriate action for potential elder abuse.