NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is preparing to administer a dose of warfarin (Coumadin) to a client with atrial fibrillation. The client’s INR is 4.5. The nurse should
Correct Answer: B
Rationale: An INR of 4.5 (therapeutic range: 2–3 for atrial fibrillation) indicates over-anticoagulation, increasing bleeding risk, so the dose should be held and the physician notified. Administering (
A) or reducing (
C) is unsafe, and vitamin K (
D) requires a physician order.
Question 2 of 5
Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?
Correct Answer: A
Rationale: Steadily increasing vital signs (e.g., heart rate, blood pressure) indicate impending delirium tremens, a severe alcohol withdrawal complication, requiring additional sedation to prevent seizures or cardiovascular collapse. Mild tremors (
B) are expected, decreased respirations (
C) contraindicate sedation, and GI distress (
D) is typical but less urgent.
Question 3 of 5
A young adult patient constantly seeks attention from the nurses, stomping away from the nurses' station and pouting when her requests are refused. Which of the following responses by the nurse is MOST appropriate?
Correct Answer: B
Rationale: Rewarding non-attention-seeking behaviors with unsolicited attention reinforces positive behavior, reducing the need for negative attention-seeking actions. Consistent staff approaches (contrary to A and
D) and limit-setting without ignoring the patient (
C) are also important, but B directly addresses behavior modification.
Question 4 of 5
Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?
Correct Answer: C
Rationale: Chocolate relaxes the lower esophageal sphincter, worsening GERD symptoms. The other foods are less likely to trigger reflux. Basic Care and Comfort
Question 5 of 5
A client who has hypokalemia asks the nurse for dietary advice on what foods would help this problem. What should the nurse tell the client?
Correct Answer: B
Rationale: Oranges, bananas, and prunes are potassium-rich, directly addressing hypokalemia through dietary intake.