NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
An elderly male patient admitted with a diagnosis of R/O cerebral vascular accident has had a significant change in his blood pressure: BP on admission was 160/100; an hour later BP went up to 180/110. The patient also appears 'sleepy'.
Question 1 of 5
Which assessment finding should the nurse report immediately to the provider?
Correct Answer: A
Rationale: Unilateral facial drooping is a classic sign of a stroke, requiring immediate reporting to the provider for urgent intervention.
Extract:
Question 2 of 5
The nurse has been assigned to four clients in the emergency room, each experiencing one of these conditions. Which client condition would the nurse check first?
Correct Answer: C
Rationale: Tension pneumothorax with slight tracheal deviation to the right. Tracheal deviation indicates a life-threatening condition with risk of cardiac tamponade.
Question 3 of 5
The nurse is assessing a client with a suspected myocardial infarction. Which of the following findings would be MOST concerning to the nurse?
Correct Answer: D
Rationale: New-onset ventricular arrhythmias are life-threatening in myocardial infarction, indicating myocardial irritability and risk of sudden cardiac death, requiring immediate intervention. Chest pain relieved by rest (
A), mild hypertension (
B), and tachycardia (
C) are less urgent.
Question 4 of 5
The nurse is preparing to administer a dose of warfarin (Coumadin) to a client with atrial fibrillation. The client’s INR is 4.5. The nurse should
Correct Answer: B
Rationale: An INR of 4.5 (therapeutic range: 2–3 for atrial fibrillation) indicates over-anticoagulation, increasing bleeding risk, so the dose should be held and the physician notified. Administering (
A) or reducing (
C) is unsafe, and vitamin K (
D) requires a physician order.
Question 5 of 5
A patient with generalized anxiety disorder is prescribed buspirone (Buspar). Which of the following statements indicates the patient understands the medication?
Correct Answer: C
Rationale: Buspirone takes 2–4 weeks for full anxiolytic effect, requiring consistent use. It’s not PRN, has low dependence risk, and alcohol should be avoided due to CNS depression.