NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
A patient is getting discharged from a long term facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breathe easily.
Question 1 of 5
Which of the following would be the best instruction for this patient?
Correct Answer: A
Rationale: Deep breathing techniques improve oxygenation, critical for COPD patients.
Extract:
Question 2 of 5
A client is receiving nitroglycerin ointment (Nitrol) to treat angina pectoris. The nurse evaluates the therapeutic effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital sign is most likely to reflect an adverse effect of nitroglycerin?
Correct Answer: C
Rationale: Hypotension and headache are the most common adverse effects of nitroglycerin.
Therefore, blood pressure is the vital sign most likely to reflect an adverse effect of this drug. The nurse should check the client's blood pressure 1 hour after administering nitroglycerin ointment. A blood pressure decrease of 10 mm Hg is within the therapeutic range. If blood pressure falls more than 20 mm Hg below baseline, the nurse should remove the ointment and report the finding to the physician immediately. An above-normal heart rate (tachycardia) is a less common adverse effect of nitroglycerin. Respiratory rate and temperature don't change significantly after nitroglycerin administration.
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 3 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:
Question 4 of 5
The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?
Correct Answer: B
Rationale: Erythema infectiosum (Fifth disease) is common in adults, contrary to the statement. The other factors are correct: it typically presents with a 'slapped face' rash, no fever, and a characteristic rash. Safety and Infection Control
Question 5 of 5
A 15 month-old child comes to the clinic for a follow-up visit after hospitalization for treatment of Kawasaki Disease. The nurse recognizes that which of the following scheduled immunizations will be delayed?
Correct Answer: A
Rationale: MMR. Medical management of Kawasaki involves administration of immunoglobulins. Measles, mumps, rubella (MMR) is a live virus vaccine, and its administration should be delayed to ensure the body’s ability to form antibodies.