NCLEX-PN Practice Questions
The nurse is administering sublingual nitroglycerin to a client. Immediately afterward,
the client may experience: - Answer 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? - Answer
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? - Answer 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? - Answer 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? - Answer 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: - Answer 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? - Answer 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: - Answer 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: - Answer 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: - Answer
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? -
Answer 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? - Answer Acute pain related to sickle cell crisis
, NCLEX-PN Practice Questions
What can the nurse do to prevent lipodystrophy when administering insulin to a diabetic
client? - Answer 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? - Answer 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? - Answer 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? - Answer 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? - Answer 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: - Answer 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? - Answer 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? - Answer 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? - Answer
Following safer-sex practices
The nurse is preparing to begin one-person cardiopulmonary resuscitation. The nurse
should first: - Answer 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: - Answer protect the graft from
direct sunlight.
The nurse is administering sublingual nitroglycerin to a client. Immediately afterward,
the client may experience: - Answer 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? - Answer
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? - Answer 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? - Answer 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? - Answer 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: - Answer 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? - Answer 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: - Answer 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: - Answer 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: - Answer
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? -
Answer 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? - Answer Acute pain related to sickle cell crisis
, NCLEX-PN Practice Questions
What can the nurse do to prevent lipodystrophy when administering insulin to a diabetic
client? - Answer 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? - Answer 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? - Answer 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? - Answer 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? - Answer 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: - Answer 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? - Answer 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? - Answer 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? - Answer
Following safer-sex practices
The nurse is preparing to begin one-person cardiopulmonary resuscitation. The nurse
should first: - Answer 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: - Answer protect the graft from
direct sunlight.
