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
A nurse is caring for a client with peripheral arterial insufficiency of the lower extremities. Which intervention should be included in the plan of care to reduce leg pain?
Correct Answer: D
Rationale: Ischemic pain is relieved by placing feet in a dependent position. This position improves peripheral perfusion.
Question 3 of 5
The nursing assistant reports that a client who is on a high-protein diet is eating only the fruits and vegetables on the meal tray. The nurse notes that the client is from the country of India. The nurse talks with the client. Which response by the nurse is likely to do most to help the client meet nutritional needs?
Correct Answer: A
Rationale: Offering a vegetarian diet respects cultural preferences common in India, increasing adherence to nutritional needs. Asking about taste, favorite foods, or emphasizing the diet's importance is less effective.
Question 4 of 5
The parents of a child with tetralogy of Fallot ask the nurse why it is called a cyanotic heart defect. The nurse responds that it is called a cyanotic heart defect because:
Correct Answer: C
Rationale: Tetralogy of Fallot causes right-to-left shunting, allowing deoxygenated blood to enter systemic circulation, leading to cyanosis, the hallmark of this defect.
Question 5 of 5
The nurse collects data on a client shortly after kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately?
Correct Answer: D
Rationale: Because kidney transplantation carries the risk of transplant rejection, infection, and other serious complications, the nurse should monitor the client's urinary function closely. A decrease from the normal urine output of 30 ml/hour is significant and warrants immediate physician notification. The other options are normal data collection findings.