NCLEX-PN
NCLEX PN Prep Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client with atrial fibrillation about the use of Coumadin (warfarin) at home. The need to avoid which of these should be emphasized to the client?
Correct Answer: D
Rationale: Foods rich in vitamin K. Vitamin K acts as an antidote to the pharmacologic action of Coumadin therapy, decreasing Coumadin's effectiveness. Foods high in vitamin K include dark greens, tomatoes, bananas, cheese, and fish.
Question 2 of 5
The nurse is observing a nursing assistant transfer a client from bed to chair. Which observation needs correction? Select all that apply.
Correct Answer: C,D,E
Rationale: The nursing assistant should stand with feet apart and knees bent to prevent injury, not grab the client's arm, and avoid tugging on the client's arms. Lowering the bed, sitting the client up, and assisting to pivot are correct.
Question 3 of 5
When making a home visit to a client with chronic pyelonephritis, which nursing action has the highest priority?
Correct Answer: C
Rationale: Ask for a log of urinary output. Monitoring urine output is the best indicator of renal function in pyelonephritis.
Question 4 of 5
The nurse is interacting with a client who has just been told she is HIV positive. The client asks the nurse when she will die. What should the nurse plan to include when replying?
Correct Answer: A
Rationale: HIV positivity indicates antibodies, not AIDS; with modern antiretroviral therapy, progression is slow, and many live for decades, unlike rapid progression or fixed timelines.
Question 5 of 5
The nurse is planning to give a 3 year-old child oral digoxin. Which of the following is the best approach by the nurse?
Correct Answer: D
Rationale: Would you like to take your medicine from a spoon or a cup? Offering a choice empowers the child and reduces resistance.