NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is talking with a client who has just had an ECG. The client says to the nurse, 'The doctor said I had a sinus rhythm. What does that mean?' Which response to the client is best?
Correct Answer: B
Rationale: Sinus rhythm originates from the sinoatrial node, the heart's normal pacemaker, indicating a healthy rhythm. This explanation is accurate and educational without causing alarm or implying unnecessary monitoring.
Question 2 of 5
The nurse planning care for a 12 year-old child with sickle cell disease in a vaso-occlusive crisis of the elbow should include which one of the following as a priority?
Correct Answer: B
Rationale: Management of a sickle cell crisis is directed towards supportive and symptomatic treatment. The priority of care is pain relief. In a 12 year-old child, client controlled analgesia promotes maximum comfort.
Question 3 of 5
The nurse is working in a high risk antepartum clinic. A 40 year-old woman in the first trimester gives a thorough health history. Which information should receive priority attention by the nurse?
Correct Answer: D
Rationale: Over-the-counter drugs are a possible danger in early pregnancy. A report by the client that she has taken medications should be followed up immediately.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of osteoporosis about lifestyle modifications. Which of the following recommendations should the nurse include?
Correct Answer: B
Rationale: Increasing calcium and vitamin D intake supports bone density in osteoporosis. Weight-bearing exercises (
A) are beneficial, fluid restriction (
C) is irrelevant, and smoking cessation (
D) should be encouraged, not stopped.
Question 5 of 5
The nurse is caring for a client with a history of atrial fibrillation who is prescribed warfarin (Coumadin). Which of the following instructions should the nurse include in the client’s teaching?
Correct Answer: A
Rationale: Warfarin’s effect is influenced by vitamin K in green leafy vegetables, so consistent intake maintains stable INR levels. Activity (
B) is encouraged, timing (
C) is flexible, and stopping for bruising (
D) requires physician consultation.