NCLEX Questions, NCLEX PN Test Questions Questions, NCLEX-PN

Extract:

Question 1 of 5

The nurse is reinforcing education to a client with a venous thromboembolism who is prescribed rivaroxaban. Which statement by the client indicates the medication teaching has been effective?

Correct Answer: C

Rationale: Rivaroxaban is a direct oral anticoagulant that does not require routine monitoring of clotting levels, unlike warfarin. It also does not necessitate dietary restrictions like avoiding spinach and kale, which are relevant for warfarin due to vitamin K interactions. Avoiding aspirin is correct because it increases bleeding risk when combined with rivaroxaban. Weakness in legs is not a typical side effect of rivaroxaban.

Question 2 of 5

The charge nurse observes a student nurse administering a tuberculin skin test using the intradermal route. Which action by the student nurse requires intervention and additional teaching from the charge nurse?

A. Advances tip of needle through epidermis until the bevel is no longer visible under the skin B. Chooses a 1-mL tuberculin syringe with a 27-gauge, 1/4-inch needle; dons clean gloves C. Injects medication slowly while raising a small wheal (bleb) on the skin D. Inserts needle at a 10-degree angle almost parallel to the skin with the bevel up

Correct Answer: A

Rationale: Advancing until the bevel is invisible (
A) is too deep for intradermal injection, requiring intervention. Syringe choice (
B), wheal formation (
C), and angle (
D) are correct.

Question 3 of 5

The nurse is caring for a client with rheumatoid arthritis. Which of the following lifestyle modifications should the nurse recommend to the client?

A. Avoid the use of ice on painful joints. B. Allow for periods of rest in the afternoon. C. Perform range-of-motion exercises daily. D. Place a pillow under the knees before sleep. E. Use moist heat packs to relax stiff joints as needed.

Correct Answer: B,C,E

Rationale: Rest (
B), range-of-motion exercises (
C), and moist heat (E) manage rheumatoid arthritis symptoms. Ice (
A) can reduce inflammation, and a pillow under knees (
D) may worsen stiffness.

Question 4 of 5

There has been a large-scale community disaster and clients must be roomed together at the hospital. Who are appropriate roommates in light of infection risk principles?

A. A client diagnosed with varicella and a client with pertussis B. A client placed in an airborne infection isolation room (AIIR) and a client with heart failure C. A client receiving chemotherapy and a client with chronic obstructive pulmonary disease (COPD) coughing yellow sputum D. A client with pelvic inflammatory disease (PID) and a client with coffee ground emesis E. Two clients diagnosed with tuberculosis

Correct Answer: D

Rationale: PID and coffee ground emesis (
D) are non-infectious, making them suitable roommates. Varicella, pertussis, TB (A, E), and COPD with sputum (
C) pose infection risks. AIIR (
B) is for airborne infections, incompatible with heart failure.

Question 5 of 5

The nurse is caring for assigned clients. The nurse should first check the client with

A. liver cirrhosis who has a decreased RBC count and is reporting pruritis B. pneumonia who has an elevated WBC count and coarse crackles bilaterally C. atrial fibrillation who has an irregular heart rate of 122/min and is reporting palpitations D. pericarditis who has muffled heart sounds and a decrease in systolic blood pressure of 20 mm Hg with inspiration

Correct Answer: D

Rationale: Pericarditis with paradoxical pulse (
D) suggests tamponade, requiring immediate assessment. Atrial fibrillation (
C), pneumonia (
B), and cirrhosis (
A) are less urgent.

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