NCLEX-PN Practice Questions Fully Solved.
The nurse is administering sublingual nitroglycerin to a client. Immediately afterward, the client
may experience: - (ANSWERS)throbbing headache or dizziness.
A client with iron deficiency anemia has been admitted to the medical-surgical unit. Which
assessment findings are characteristic of this type of anemia? - (ANSWERS)Dyspnea,
tachycardia, and pallor
The nurse is caring for a client taking an anticoagulant. Which instruction regarding
anticoagulant therapy should the nurse give the client? - (ANSWERS)Limit foods high in vitamin
K.
The nurse delivers a client's 10 a.m. Medications. The client is away from his room for a
diagnostic study. Which action is most appropriate for the nurse to take? - (ANSWERS)Lock the
medications in the medicine preparation area until the client returns.
The nurse is caring for a client receiving patient-controlled analgesia (PCA) for pain
management. Which statement about PCA is true? - (ANSWERS)Pain relief is initiated by the
client as needed.
The nurse is caring for a client with type 1 diabetes mellitus who exhibits confusion, light-
headedness, and aberrant behavior. The client is still conscious. The nurse should first
administer: - (ANSWERS)15 to 20 g of a fast-acting carbohydrate such as orange juice.
The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse
should include information about which major complication? - (ANSWERS)Bone fracture
The nurse is speaking to a group of women about early detection of breast cancer. The average
age of the women in the group is 47. Following the American Cancer Society guidelines, the
nurse should recommend that the women: - (ANSWERS)have a mammogram annually.
The nurse is instructing a premenopausal woman about breast self-examination. The nurse
should tell the client to do her self-examination: - (ANSWERS)immediately after her menses.
The nurse is teaching a group of women to perform breast self-examination. The nurse should
explain that the purpose of performing the examination is to discover: - (ANSWERS)changes
from previous self-examinations.
The American Cancer Society recommends routine screening to detect colorectal cancer.
Which screening test for colorectal cancer should the nurse recommend? - (ANSWERS)Flexible
sigmoidoscopy beginning at age 50
Which nursing diagnosis should the nurse expect to see in a care plan for a client in sickle cell
crisis? - (ANSWERS)Acute pain related to sickle cell crisis
, NCLEX-PN Practice Questions Fully Solved.
What can the nurse do to prevent lipodystrophy when administering insulin to a diabetic client?
- (ANSWERS)Rotate the injection sites.
For a diabetic client with a foot ulcer, the physician orders bed rest, a wet-to-dry dressing
change every shift, and blood glucose monitoring before meals and at bedtime. Why are the
wet-to-dry dressings used for this client? - (ANSWERS)Because they debride the wound and
promote healing by secondary intention.
An obese client is admitted to the hospital for abusing amphetamines in an attempt to lose
weight. Which nursing intervention is appropriate for this client? - (ANSWERS)Identify
alternative ways for the client to lose weight.
Policy and procedure dictate that hand washing is a requirement when caring for clients. Which
statement about hand washing is true? - (ANSWERS)Frequent hand washing reduces
transmission of pathogens from one client to another.
The nurse is evaluating a postoperative client for infection. Which sign or symptom would be
most indicative of infection? - (ANSWERS)Red, warm, tender incision
The nurse is caring for a client with a fractured hip. The client is combative, confused, and trying
to get out of bed. The nurse should: - (ANSWERS)obtain a physician's order to restrain the client
when less restrictive interventions fail.
The nurse is caring for a bedridden, elderly adult. To prevent pressure ulcers, which intervention
should the nurse include in the care plan? - (ANSWERS)Post a turning schedule at the client's
bedside.
A client who has recently had surgery for prostate cancer expresses to the nurse feelings of
anger toward God, his church, and the clergy. Which intervention is appropriate for this client?
- (ANSWERS)Encouraging the client to discuss concerns with the clergy
The nurse is working in a support group for clients with acquired immunodeficiency syndrome
(AIDS). Which point about preventing transmission of the human immunodeficiency virus (HIV)
is most important for the nurse to stress? - (ANSWERS)Following safer-sex practices
The nurse is preparing to begin one-person cardiopulmonary resuscitation. The nurse should
first: - (ANSWERS)establish unresponsiveness.
The nurse is providing home care instructions to a client who has recently had a skin graft. It's
most important that the client remember to: - (ANSWERS)protect the graft from direct sunlight.
The nurse is administering sublingual nitroglycerin to a client. Immediately afterward, the client
may experience: - (ANSWERS)throbbing headache or dizziness.
A client with iron deficiency anemia has been admitted to the medical-surgical unit. Which
assessment findings are characteristic of this type of anemia? - (ANSWERS)Dyspnea,
tachycardia, and pallor
The nurse is caring for a client taking an anticoagulant. Which instruction regarding
anticoagulant therapy should the nurse give the client? - (ANSWERS)Limit foods high in vitamin
K.
The nurse delivers a client's 10 a.m. Medications. The client is away from his room for a
diagnostic study. Which action is most appropriate for the nurse to take? - (ANSWERS)Lock the
medications in the medicine preparation area until the client returns.
The nurse is caring for a client receiving patient-controlled analgesia (PCA) for pain
management. Which statement about PCA is true? - (ANSWERS)Pain relief is initiated by the
client as needed.
The nurse is caring for a client with type 1 diabetes mellitus who exhibits confusion, light-
headedness, and aberrant behavior. The client is still conscious. The nurse should first
administer: - (ANSWERS)15 to 20 g of a fast-acting carbohydrate such as orange juice.
The nurse is caring for an elderly female with osteoporosis. When teaching the client, the nurse
should include information about which major complication? - (ANSWERS)Bone fracture
The nurse is speaking to a group of women about early detection of breast cancer. The average
age of the women in the group is 47. Following the American Cancer Society guidelines, the
nurse should recommend that the women: - (ANSWERS)have a mammogram annually.
The nurse is instructing a premenopausal woman about breast self-examination. The nurse
should tell the client to do her self-examination: - (ANSWERS)immediately after her menses.
The nurse is teaching a group of women to perform breast self-examination. The nurse should
explain that the purpose of performing the examination is to discover: - (ANSWERS)changes
from previous self-examinations.
The American Cancer Society recommends routine screening to detect colorectal cancer.
Which screening test for colorectal cancer should the nurse recommend? - (ANSWERS)Flexible
sigmoidoscopy beginning at age 50
Which nursing diagnosis should the nurse expect to see in a care plan for a client in sickle cell
crisis? - (ANSWERS)Acute pain related to sickle cell crisis
, NCLEX-PN Practice Questions Fully Solved.
What can the nurse do to prevent lipodystrophy when administering insulin to a diabetic client?
- (ANSWERS)Rotate the injection sites.
For a diabetic client with a foot ulcer, the physician orders bed rest, a wet-to-dry dressing
change every shift, and blood glucose monitoring before meals and at bedtime. Why are the
wet-to-dry dressings used for this client? - (ANSWERS)Because they debride the wound and
promote healing by secondary intention.
An obese client is admitted to the hospital for abusing amphetamines in an attempt to lose
weight. Which nursing intervention is appropriate for this client? - (ANSWERS)Identify
alternative ways for the client to lose weight.
Policy and procedure dictate that hand washing is a requirement when caring for clients. Which
statement about hand washing is true? - (ANSWERS)Frequent hand washing reduces
transmission of pathogens from one client to another.
The nurse is evaluating a postoperative client for infection. Which sign or symptom would be
most indicative of infection? - (ANSWERS)Red, warm, tender incision
The nurse is caring for a client with a fractured hip. The client is combative, confused, and trying
to get out of bed. The nurse should: - (ANSWERS)obtain a physician's order to restrain the client
when less restrictive interventions fail.
The nurse is caring for a bedridden, elderly adult. To prevent pressure ulcers, which intervention
should the nurse include in the care plan? - (ANSWERS)Post a turning schedule at the client's
bedside.
A client who has recently had surgery for prostate cancer expresses to the nurse feelings of
anger toward God, his church, and the clergy. Which intervention is appropriate for this client?
- (ANSWERS)Encouraging the client to discuss concerns with the clergy
The nurse is working in a support group for clients with acquired immunodeficiency syndrome
(AIDS). Which point about preventing transmission of the human immunodeficiency virus (HIV)
is most important for the nurse to stress? - (ANSWERS)Following safer-sex practices
The nurse is preparing to begin one-person cardiopulmonary resuscitation. The nurse should
first: - (ANSWERS)establish unresponsiveness.
The nurse is providing home care instructions to a client who has recently had a skin graft. It's
most important that the client remember to: - (ANSWERS)protect the graft from direct sunlight.
