NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
An adult is scheduled for a total laryngectomy. When preparing the client for surgery, it is essential for the nurse to take which of the following actions?
Correct Answer: C
Rationale: A laryngectomy removes the voice box, requiring alternative communication; assessing literacy ensures post-op communication via writing, critical for care planning.
Question 4 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.
Question 5 of 5
The most important information for the nurse to have when planning care for the client with diabetes is the client's
Correct Answer: B
Rationale: Answer B is correct. The most objective answer is the blood glucose history. Answers A, C, and D are more subjective. This information is reported data.