NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 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.
Question 2 of 5
A danger following a bone marrow transplantation is graft-host disease. The initial sign of graft-versus-host disease is:
Correct Answer: B
Rationale: A rash is often the earliest sign of graft-versus-host disease, reflecting immune attack on the skin. Other signs may follow but are less initial.
Question 3 of 5
The nurse is caring for a client who has a Clostridioides difficile infection. Which of the following infection control precautions should the nurse implement? Select all that apply.
Correct Answer: B, D
Rationale: A private room (
B) and protective gown (
D) are required for contact precautions. Sterile gloves (
A) are unnecessary, alcohol-based sanitizer (
C) is ineffective against C. difficile spores, and surgical masks (E) are not required.
Question 4 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.
Extract:
Laboratory reference ranges
INR (Therapeutic – atrial fibrillation)
2.0-3.0
Question 5 of 5
The nurse has reinforced teaching for a client with atrial fibrillation who is receiving warfarin. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: A, C
Rationale: Antibiotics affecting INR (
A) and consistent timing (
C) are correct. More leafy greens (
B) can lower INR, INR of 4-5 (
D) is too high, and doubling doses (E) is dangerous.