NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?
Correct Answer: D
Rationale: The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.
Question 2 of 5
Assessment of the client with an arteriovenous fistula for hemodialysis should include:
Correct Answer: B
Rationale: Palpating a thrill confirms the patency of an AV fistula. Visible pulsation is not typical, percussion is irrelevant, and blood pressure is not auscultated in the fistula limb. Physiological Adaptation
Question 3 of 5
A patient is prescribed warfarin (Coumadin) for atrial fibrillation. Which of the following lab values should the nurse monitor to determine the effectiveness of the medication?
Correct Answer: C
Rationale: Warfarin’s anticoagulant effect is monitored via PT/INR, which assesses clotting time and therapeutic range for atrial fibrillation (typically INR 2.0–3.0). Platelet count, hemoglobin, and aPTT are not primary indicators for warfarin.
Question 4 of 5
While installing electrical wiring in the intensive care unit, the workmen start an electrical fire. The nurse's first action when caring for a ventilator-dependent client should be to:
Correct Answer: C
Rationale: Removing the ventilator-dependent client with an Ambu bag ensures safety from the fire. Extinguishing, notifying, or activating the alarm are secondary.
Question 5 of 5
The nurse is planning the assignment of tasks for the day. Which factors would the nurse remain mindful of when delegating tasks? Select all that apply.
Correct Answer: A,E
Rationale: Delegation requires matching tasks to staff competencies based on client acuity and needs, ensuring safety and efficiency. Staff requests, room clustering, and discharges are secondary considerations that do not directly impact safe delegation.