NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Vital signs
Blood pressure 105/60 mm Hg
Heart rate 80/min
Respirations 22/min
SpO2 90% on room air
Nurse notes
The client has a history of coronary artery disease and peripheral vascular disease. Nursing assessment reveals crackles in middle & lower lung fields, moderate jugular venous distension, and 3+ pedal edema.
Medications
Enoxaparin: 30 mg subcutaneous once daily
Metoprolol: 50 mg PO twice a day
Furosemide: 40 mg PO twice daily
Atorvastatin: 20 mg PO once daily
Question 1 of 5
The nurse is preparing to administer medications to a client with acute decompensated heart failure. Which of the following medications should the nurse hold for clarification prior to administering?
Correct Answer: D
Rationale: Metoprolol (
D) may worsen acute decompensated heart failure by reducing cardiac output, requiring clarification. Furosemide (
C) treats fluid overload, enoxaparin (
B) prevents thrombosis, and atorvastatin (
A) manages lipids.
Extract:
Question 2 of 5
A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond?
Correct Answer: D
Rationale: Nurses cannot dispense medications without a prescription (A,
B). Checking blood pressure (
C) is irrelevant. Referring to a provider (
D) ensures proper evaluation and treatment.
Question 3 of 5
Which teaching instructions should the nurse reinforce to a client with advanced chronic obstructive pulmonary disease?
Correct Answer: B,C,E
Rationale: Pneumococcal vaccine (
B), reporting increased sputum (
C), and incentive spirometry (E) manage COPD. A high-calorie diet, not low-calorie (
A), is needed. Iron (
D) is only indicated for confirmed anemia.
Question 4 of 5
A client with a 10-year history of major depressive disorder has relapsed and is now hospitalized. The client is currently on phenelzine and weighs 115 lb (52.2 kg) but weighed 150 lb (68 kg) 3 months before admission. Which foods would be best for this client?
Correct Answer: C
Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like cheese (
A) to prevent hypertensive crisis. Fish and potatoes (
C) are safe and nutritious. Eggs (
B) and avocado (
D) are safe but less balanced.
Question 5 of 5
The nurse is talking with the parent of a 5-year-old client who is receiving morphine for pain. Which of the following statements by the parent would be a priority to follow up?
Correct Answer: D
Rationale: Assuming a playing child has no pain (
D) is incorrect, as children may play despite pain. This requires follow-up to ensure adequate pain management. Aggression (
A) and feeling punished (
B) are valid concerns but less urgent. Using the FACES scale (
C) is appropriate.