NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The nurse is talking to a client with rheumatoid arthritis who is reporting increased pain and stiffness of the joints in the morning. The nurse should encourage the client to
Correct Answer: C
Rationale: A warm shower and range-of-motion exercises (
C) reduce morning stiffness and improve mobility. Heating pads (
A) may help but are less comprehensive, high-calorie meals (
B) are irrelevant, and NSAIDs (
D) may not address stiffness immediately.
Question 2 of 5
The practical nurse is assisting with care for several newborns in the nursery. Which of the following findings are abnormal and need to be reported to the registered nurse? Select all that apply.
Correct Answer: A, D, E
Rationale: Chest retractions (
A), jaundice (
D), and no voiding (E) are abnormal and require reporting. Flaking skin (
B) and head circumference (
C) are normal for newborns.
Question 3 of 5
The nurse is talking with a client with atrial fibrillation who has a new prescription for dabigatran. Which of the following statements by the client would require follow-up?
Correct Answer: D
Rationale: Dabigatran does not require routine blood monitoring (
D), unlike warfarin, so this statement requires follow-up. Soft toothbrush (
A), reporting bleeding (
B), and swallowing whole (
C) are correct.
Question 4 of 5
The nurse is caring for a 3-month-old infant who has bacterial meningitis. Which of the following clinical findings support this diagnosis? Select all that apply.
Correct Answer: B, C, E
Rationale: High-pitched cry (
B), poor feeding (
C), and vomiting (E) are signs of bacterial meningitis in infants. A depressed fontanelle (
A) suggests dehydration, not meningitis, and Babinski sign (
D) is normal in infants.
Question 5 of 5
A 25-year-old client is about to undergo a unilateral orchiectomy for treatment of testicular cancer. The client says to the nurse, 'I'm so worried that my future spouse is going to call off our engagement.' What is the best response by the nurse?
Correct Answer: D
Rationale: Asking about discussions with the spouse (
D) encourages the client to share concerns and clarifies the situation. Options A, B, and C assume specific fears or provide reassurance without exploration.