NCLEX-PN Practice Questions Quizlet
Question 1 of 5.
Extract:A patient with rheumatoid arthritis complains to the nurse about her back pain and said, 'I want a bed that is similar to what I have at home.'
What would be an appropriate nursing response?
A. I will massage your back to ease up the pain.
B. I will ask the physician to order analgesic for you.
C. I will refer you to the occupational therapist.
D. Ask the husband how the patient sleeps at home.
Explanation: Assessment is the first step to be taken by the nurse. Asking the husband about the patient's home sleeping arrangements helps gather relevant information to address the patient's needs.
Question 2 of 5.
The nurse is caring for an adult who is being admitted to the unit for detoxification from alcohol. Which comment is the client most likely to make at this time?
A. I am so sorry for any trouble I've caused my family.
B. I'm not really an alcoholic you know. I'm doing this to please my wife.
C. I am so embarrassed. I know drinking is wrong.
D. My friends and family all tell me I am not an alcoholic.
Explanation: Denial is common in early alcohol detoxification, with clients often minimizing their problem or attributing treatment to external pressures.
Question 3 of 5.
A cooling blanket has been ordered for an adult who has a head injury and is running high fevers. The client starts shivering. What action is most appropriate for the LPN?
A. Add more blankets to warm up the client
B. Report immediately to the charge nurse
C. Increase the temperature of the cooling blanket
D. Continue to monitor the client because shivering is expected
Explanation: Shivering indicates the cooling blanket may be too cold, risking complications; reporting to the charge nurse ensures proper adjustment.
Question 4 of 5.
An adult is taking warfarin daily. The client's international normalized ratio (INR) is 2.4. Which nursing action is most appropriate?
A. Increase the dose of warfarin by 2 mg
B. Withhold the warfarin and notify the physician
C. Administer the warfarin as ordered
D. Call the physician for a decrease in dosage
Explanation: An INR of 2.4 is within the therapeutic range (2.0-3.0) for anticoagulation, indicating the dose should be continued as ordered.
Question 5 of 5.
The nurse is caring for a client who is prescribed cholestyramine (Questran). Which comment by the client is of most concern to the nurse?
A. I have a grapefruit almost every day for breakfast.'
B. My muscles were very tired after exercising yesterday.'
C. I have lost three pounds in the last two weeks.'
D. When the nurse drew my blood last time, he left a bruise.'
Explanation: Muscle fatigue may indicate myopathy, a rare but serious side effect of cholestyramine, requiring immediate evaluation. Grapefruit, weight loss, and bruising are not directly related to cholestyramine risks.