NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Miss Helen Roller is admitted following a diagnosis of congestive heart failure. She tells you she is unable to wash herself without assistance because of shortness of breath. You notice she also has difficulty walking to the bathroom unassisted for the same reason.
Question 1 of 5
Which of the following nursing diagnosis is most important?
Correct Answer: B
Rationale: Activity intolerance due to shortness of breath is the most pressing issue affecting her daily functioning.
Extract:
Screening for high blood cholesterol in the community is under:
Question 2 of 5
Screening for high blood cholesterol in the community is under:
Correct Answer: C
Rationale: Cholesterol screening is secondary prevention, identifying at-risk individuals for early intervention.
Extract:
Question 3 of 5
A client is scheduled for an Intravenous Pyelogram (IVP). In order to prepare the client for this test, the nurse would
Correct Answer: C
Rationale: Administer a laxative to the client the evening before the examination. Bowel prep is important because it will allow greater visualization of the bladder and ureters.
Question 4 of 5
The nurse is caring for a client with a history of atrial fibrillation who is prescribed warfarin (Coumadin). Which of the following instructions should the nurse include in the client’s teaching?
Correct Answer: A
Rationale: Warfarin’s effect is influenced by vitamin K in green leafy vegetables, so consistent intake maintains stable INR levels. Activity (
B) is encouraged, timing (
C) is flexible, and stopping for bruising (
D) requires physician consultation.
Question 5 of 5
The nurse is caring for a client who is receiving total parenteral nutrition (TPN) (hyperalimentation and lipids). What is the priority nursing action on every 8 hour shift?
Correct Answer: C
Rationale: Because of the high dextrose and protein content in parenteral nutrition, the nurse should assess the urine at least every 8 hours.