NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
Which therapeutic communication skill used by the nurse is most likely to encourage a depressed client to vent feelings?
Correct Answer: D
Rationale: Active listening. This skill, along with silence, encourages the client to verbalize feelings.
Question 2 of 5
The clinic nurse evaluates a client who was prescribed lithium therapy a month ago for bipolar disorder. Which client statement would cause the most concern?
Correct Answer: C
Rationale: Stomach flu (
C) can cause dehydration, increasing lithium toxicity risk, requiring immediate concern. Naps (
A), weight gain (
B), and dry mouth (
D) are less urgent side effects.
Extract:
Laboratory results
Sodium
136-145 mEq/L
(136-145 mmol/L) 126 mEq/L
(126 mmol/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 4.8 mEq/L
(4.8 mmol/L)
Calcium
9.0–10.5 mg/dL
(2.25–2.62 mmol/L) 9.0 mg/dL
(2.25 mmol/L)
Question 3 of 5
A client with heart failure has gained 5 lb (2.26 kg) over the last 3 days. The nurse reviews the client's blood laboratory results. Based on this information, what medication administration does the nurse anticipate?
Correct Answer: C
Rationale: Weight gain in heart failure suggests fluid retention. Furosemide (
C), a diuretic, is anticipated to reduce fluid overload. Sodium chloride (
A) worsens fluid retention, and calcium gluconate (
B) and sodium polystyrene (
D) address other conditions.
Extract:
Question 4 of 5
When giving an intramuscular injection to an infant. Which of the following sites is preferred?
Correct Answer: C
Rationale: Vastus lateralis is the ideal choice for infants.
Question 5 of 5
The nurse is reinforcing teaching for a client with atrial fibrillation who has a new prescription for warfarin. Which of the following statements by the client would require follow-up?
Correct Answer: B
Rationale: Avoiding all green leafy vegetables (
B) is incorrect; consistent intake is needed to maintain stable INR. Avoiding aspirin (
A), caffeine (
C), and consulting about supplements (
D) are correct.