NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is reinforcing teaching for a client with atrial fibrillation who has a new prescription for warfarin. Which of the following statements by the client would require follow-up?
Correct Answer: B
Rationale: Avoiding all green leafy vegetables (
B) is incorrect; consistent intake is needed to maintain stable INR. Avoiding aspirin (
A), caffeine (
C), and consulting about supplements (
D) are correct.
Question 2 of 5
The nurse is caring for a client who had a colostomy. Which comment by the client indicates that she is showing an interest in learning about her colostomy?
Correct Answer: B
Rationale: Asking about the bag's purpose shows curiosity and readiness to learn about colostomy care. Other comments reflect denial, frustration, or lack of engagement.
Question 3 of 5
The nurse is talking with the parent of a 22-month-old client. The parent states, 'I am worried about my child's thumb-sucking and its effects on tooth alignment.' Which of the following responses would be appropriate for the nurse to make? Select all that apply.
Correct Answer: B, C, E
Rationale: Offering a security item (
B), positive reinforcement (
C), and noting malocclusion risk after permanent teeth erupt (E) are appropriate. Thumb-sucking has minimal effect before permanent teeth (
A), and braces after 12 months (
D) is exaggerated.
Question 4 of 5
The nurse is caring for a frail elderly client in her home. Which behavior, if observed or reported, should the nurse report to the supervisor for further evaluation of possible abuse?
Correct Answer: B
Rationale: Leaving a frail client alone for hours poses neglect risk, warranting abuse evaluation. Guardianship, brown spots, or yelling are less definitive without context.
Question 5 of 5
The clinic nurse evaluates a client who was prescribed lithium therapy a month ago for bipolar disorder. Which client statement would cause the most concern?
Correct Answer: C
Rationale: Stomach flu (
C) can cause dehydration, increasing lithium toxicity risk, requiring immediate concern. Naps (
A), weight gain (
B), and dry mouth (
D) are less urgent side effects.