NCLEX-PN Practice Questions Free
Question 1 of 5.
Extract:Which of the following shouldn't be considered when assessing an elderly patient?
Which of the following shouldn't be considered when assessing an elderly patient?
A. An elderly patient may have one or more chronic diseases.
B. Any new illness or physical problem is likely to cause a change in mental status because in elderly patients the brain is the most vulnerable organ.
C. Most elderly patients have trouble hearing, so you'll need to speak loudly when obtaining the health history.
D. The elderly patient may have slowed intestinal motility and weakened bones and joints.
Explanation: Assuming all elderly patients need loud speech stereotypes and may miss nuanced hearing issues.
Question 2 of 5.
An adult has completed an alcohol detoxification program and will be discharged later today. Which comment indicates the best understanding of the discharge care?
A. I will be so glad to get out of here so I can be with all my old friends again.
B. I know I cannot drink as much as I used to.
C. I have found three different AA meetings to attend.
D. I know I cannot drink hard liquor, but a beer or two won't hurt me.
Explanation: Attending AA meetings indicates commitment to sobriety and support, essential for recovery post-detoxification.
Question 3 of 5.
An adult who had a deep vein thrombosis is prescribed warfarin (Coumadin). Which factor in the client's history will be of most concern to the nurse?
A. The client has osteoarthritis.
B. The client likes to take daily walks.
C. The client had a cholecystectomy two months ago.
D. The client takes thyroid medication.
Explanation: Osteoarthritis may involve NSAID use, which increases bleeding risk with warfarin, requiring close monitoring.
Question 4 of 5.
The nurse is caring for an adult who had abdominal surgery yesterday. When the nurse encourages the client to take some deep breaths and cough, the client tells the nurse, 'It hurts when I cough. I just can't do it.' What is the nurse's best response?
A. After you do the deep breathing and coughing, I will get you some pain medication.
B. You must do this if you don't want to get pneumonia.
C. Put this little pillow over your incision to support it and then take three deep breaths and cough.
D. You can wait for two more hours and then you must try again.
Explanation: Splinting the incision with a pillow reduces pain during coughing, promoting effective lung expansion to prevent pneumonia.
Question 5 of 5.
The client is receiving furosemide daily. Which statement by the client indicates to the nurse that the client understands the dietary needs related to this medication?
A. I always have eggs and apple juice for breakfast.'
B. My favorite snack is an apple.'
C. My favorite salad is cucumbers and radishes.'
D. I eat watermelon almost every day.'
Explanation: Furosemide causes potassium loss; watermelon is high in potassium, helping to replace it, indicating dietary understanding. The other foods are not notably potassium-rich.
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