ADVANCED QUESTIONS AND
ANSWERS FOR NCLEX PN
The nurse has provided discharge instructions to a client with an application of a halo
device. The nurse determines that the client needs further teaching if which statement is
made? - CORRECT ANSWER-1. "I will use a straw for drinking."
2. "I will drive only during the daytime."
3. "I will use caution because the device alters balance."
4. "I will wash the skin daily under the lamb's-wool liner of the vest."
The nurse is caring for a client in preterm labor who is receiving terbutaline sulfate to
stop uterine activity. During this medication therapy, the nurse implements nursing
interventions to monitor which specific body organs that can be affected by this
medication? - CORRECT ANSWER-1. Heart and lungs
2.Kidneys and lungs
3. Heart and kidneys
4. Lungs and gastrointestinal tract
The client with squamous cell carcinoma of the larynx is receiving bleomycin
intravenously. The nurse caring for the client anticipates that which diagnostic study will
be prescribed? - CORRECT ANSWER-1. Echocardiography
2. Electrocardiography
3. Cervical radiography
4. Pulmonary function studies
The nurse caring for an infant with congenital heart disease is monitoring the infant
closely for signs of heart failure (HF). The nurse should observe for which early sign of
HF? - CORRECT ANSWER-1. Pallor
2. Cough
3. Tachycardia
4. Slow and shallow breathing
The nurse is preparing to care for a dying client, and several family members are at the
client's bedside. Which therapeutic techniques should the nurse use when
communicating with the family? Select all that apply. - CORRECT ANSWER-1.
Discourage reminiscing.
, 2. Make the decisions for the family.
3. Encourage expression of feelings, concerns, and fears.
4. Explain everything that is happening to all family members.
5. Touch and hold the client's or family member's hand if appropriate.
6. Be honest and let the client and family know that they will not be abandoned by the
nurse.
The client arrives at the prenatal clinic for her first prenatal assessment. The client tells
the nurse that the first day of her last menstrual period was October 20, 2016. Using
Nägele's rule, the nurse determines the estimated date of birth is which? - CORRECT
ANSWER-1. July 12, 2017
2. July 27, 2017*
3. August 12, 2017
4. August 27, 2017
Oxybutynin chloride (Ditropan XL) is prescribed for a client with neurogenic bladder.
Which sign would indicate a possible toxic effect related to this medication? -
CORRECT ANSWER-1. Pallor
2. Drowsiness
3. Bradycardia
4. Restlessness
A client diagnosed with angina pectoris returns to the nursing unit after experiencing an
angioplasty. The nurse reinforces instructions to the client regarding the procedure and
home care measures. Which statement by the client indicates an understanding of the
instructions? - CORRECT ANSWER-1. "I am considering cutting my workload."
2. "I need to cut down on cigarette smoking."*
3. "I am so relieved that my heart is repaired."
4."I need to adhere to my dietary restrictions."
The nurse notes that the 4-hour postpartum client has cool, clammy skin and that she is
restless and excessively thirsty. The nurse immediately notifies the registered nurse and
then performs which action? - CORRECT ANSWER-1. Checks the vital signs
2.Begins fundal massage
3. Encourages ambulation
4. Encourages the client to drink fluids
The nurse is assigned to care for a client with a diagnosis of detached retina. Which
finding would indicate that bleeding has occurred as a result of retinal detachment? -
CORRECT ANSWER-1. Total loss of vision
2. A reddened conjunctiva
3. A sudden sharp pain in the eye
4. Complaints of a burst of black spots or floaters
The nurse is caring for a child with a diagnosis of Kawasaki disease. The mother of the
child asks the nurse about the disorder. Which statement most accurately describes
ANSWERS FOR NCLEX PN
The nurse has provided discharge instructions to a client with an application of a halo
device. The nurse determines that the client needs further teaching if which statement is
made? - CORRECT ANSWER-1. "I will use a straw for drinking."
2. "I will drive only during the daytime."
3. "I will use caution because the device alters balance."
4. "I will wash the skin daily under the lamb's-wool liner of the vest."
The nurse is caring for a client in preterm labor who is receiving terbutaline sulfate to
stop uterine activity. During this medication therapy, the nurse implements nursing
interventions to monitor which specific body organs that can be affected by this
medication? - CORRECT ANSWER-1. Heart and lungs
2.Kidneys and lungs
3. Heart and kidneys
4. Lungs and gastrointestinal tract
The client with squamous cell carcinoma of the larynx is receiving bleomycin
intravenously. The nurse caring for the client anticipates that which diagnostic study will
be prescribed? - CORRECT ANSWER-1. Echocardiography
2. Electrocardiography
3. Cervical radiography
4. Pulmonary function studies
The nurse caring for an infant with congenital heart disease is monitoring the infant
closely for signs of heart failure (HF). The nurse should observe for which early sign of
HF? - CORRECT ANSWER-1. Pallor
2. Cough
3. Tachycardia
4. Slow and shallow breathing
The nurse is preparing to care for a dying client, and several family members are at the
client's bedside. Which therapeutic techniques should the nurse use when
communicating with the family? Select all that apply. - CORRECT ANSWER-1.
Discourage reminiscing.
, 2. Make the decisions for the family.
3. Encourage expression of feelings, concerns, and fears.
4. Explain everything that is happening to all family members.
5. Touch and hold the client's or family member's hand if appropriate.
6. Be honest and let the client and family know that they will not be abandoned by the
nurse.
The client arrives at the prenatal clinic for her first prenatal assessment. The client tells
the nurse that the first day of her last menstrual period was October 20, 2016. Using
Nägele's rule, the nurse determines the estimated date of birth is which? - CORRECT
ANSWER-1. July 12, 2017
2. July 27, 2017*
3. August 12, 2017
4. August 27, 2017
Oxybutynin chloride (Ditropan XL) is prescribed for a client with neurogenic bladder.
Which sign would indicate a possible toxic effect related to this medication? -
CORRECT ANSWER-1. Pallor
2. Drowsiness
3. Bradycardia
4. Restlessness
A client diagnosed with angina pectoris returns to the nursing unit after experiencing an
angioplasty. The nurse reinforces instructions to the client regarding the procedure and
home care measures. Which statement by the client indicates an understanding of the
instructions? - CORRECT ANSWER-1. "I am considering cutting my workload."
2. "I need to cut down on cigarette smoking."*
3. "I am so relieved that my heart is repaired."
4."I need to adhere to my dietary restrictions."
The nurse notes that the 4-hour postpartum client has cool, clammy skin and that she is
restless and excessively thirsty. The nurse immediately notifies the registered nurse and
then performs which action? - CORRECT ANSWER-1. Checks the vital signs
2.Begins fundal massage
3. Encourages ambulation
4. Encourages the client to drink fluids
The nurse is assigned to care for a client with a diagnosis of detached retina. Which
finding would indicate that bleeding has occurred as a result of retinal detachment? -
CORRECT ANSWER-1. Total loss of vision
2. A reddened conjunctiva
3. A sudden sharp pain in the eye
4. Complaints of a burst of black spots or floaters
The nurse is caring for a child with a diagnosis of Kawasaki disease. The mother of the
child asks the nurse about the disorder. Which statement most accurately describes
