NCLEX-PN
NCLEX PN Test Questions Questions
Extract:
Question 1 of 5
The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it travels through the heart. Which of these describes the normal pathway?
Correct Answer: D
Rationale: SA node, AV node, Bundle of His, Purkinje fibers. This is the normal pathway of an electrical impulse through the heart.
Question 2 of 5
A client with multiple sclerosis plans to begin an exercise program. In addition to discussing the benefits of regular exercise, the nurse should caution the client to avoid activities which
Correct Answer: B
Rationale: lead to dehydration. The client must take in adequate fluids before and during exercise periods.
Question 3 of 5
Which teaching instructions should the nurse reinforce to a client with advanced chronic obstructive pulmonary disease?
Correct Answer: B,C,E
Rationale: Pneumococcal vaccine (
B), reporting increased sputum (
C), and incentive spirometry (E) manage COPD. A high-calorie diet, not low-calorie (
A), is needed. Iron (
D) is only indicated for confirmed anemia.
Question 4 of 5
The nurse is talking with a client whose spouse recently died. The client states, 'I just cannot get over my spouse's death.' Which of the following responses would be appropriate for the nurse to make?
Correct Answer: B,D,E
Rationale: The nurse should provide empathetic, open-ended responses that encourage the client to express feelings and explore coping strategies. Suggesting a support group (
D) and asking about coping methods (E) are therapeutic. Acknowledging that grief takes time (
B) is supportive. Sharing personal experiences (
A) is unprofessional, and leaving the client alone (
C) may dismiss their emotional needs.
Question 5 of 5
The nurse is caring for a child newly diagnosed with cystic fibrosis. What interventions does the nurse expect to be included in the client's multidisciplinary plan of care?
Correct Answer: A,B,E
Rationale: Chest physiotherapy (
A) clears mucus, genetic counseling (
B) addresses hereditary aspects, and spiritual support (E) aids coping. A high-calorie diet, not low-calorie (
C), is needed for nutrition. Fluid restriction (
D) is inappropriate, as hydration is encouraged.