NCLEX-PN Exam Practice Questions & Answers

NCLEX-PN Exam Practice Questions & Answers
The nurse is administering sublingual nitroglycerin to a client. Immediately
afterward, the client may experience:
- 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?
- 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?
- 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?
- 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?
- 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:
- 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?
- 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:
- 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:
- 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:
- 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?
- 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?
- Acute pain related to sickle cell crisis
What can the nurse do to prevent lipodystrophy when administering insulin to a
diabetic client?
- 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?
- 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?
- 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?
- 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?
- 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:
- 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?
- Post a turning schedule at the client's bedside.

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