NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
The physician prescribes Isordil 10 mg PRN TID and a nitroglycerin transdermal disc once a day for a patient with chronic angina pectoris. The patient asks the nurse why the Isordil is prescribed.
Question 1 of 5
The nurse's best response would be:
Correct Answer: C
Rationale: Isordil, a nitrate, dilates coronary arteries, increasing oxygen delivery to the heart.
Extract:
Question 2 of 5
An infant weighed 7 pounds 8 ounces at birth. If growth occurs at a normal rate, what would be the expected weight change at 6 months of age?
Correct Answer: A
Rationale: Double the birth weight. Although growth rates vary, infants normally double their birth weight by 6 months.
Question 3 of 5
A nurse is caring for a patient with bipolar disorder who is experiencing a depressive episode. Which of the following interventions is most appropriate?
Correct Answer: C
Rationale: Allowing rest and sleep supports recovery during a depressive episode, as energy is low. Group activities or stimulation may overwhelm, and expression should be encouraged.
Question 4 of 5
A client has a history of chronic undifferentiated schizophrenia. Because she has a history of noncompliance with antipsychotic therapy, she'll receive fluphenazine decanoate (Prolixin Decanoate) injections every 4 weeks. Before discharge, what should the nurse include in her teaching plan?
Correct Answer: B
Rationale: The nurse should teach the client how to manage common adverse reactions, such as orthostatic hypotension and anticholinergic effects. The antipsychotic effects of the drug may take several weeks to appear. Droperidol increases the risk of extrapyramidal effects when given in conjunction with phenothiazines such as fluphenazine. Tardive dyskinesia is a possible adverse reaction and should be reported immediately.
Question 5 of 5
The nurse is caring for clients in the student health center. A client confides to the nurse that the client's boyfriend informed her that he tested positive for hepatitis B. Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: Hepatitis B is transmitted through sexual contact or parenteral routes. Assessing exposure by asking about unprotected sex is the best initial response to determine the client’s risk and guide further actions (e.g., testing, HBIG, or vaccination).
Choice A is empathetic but non-assessing, B and C assume exposure without confirmation, and D prioritizes assessment.