NCLEX-PN PRACTICE QUESTIONS AND ANSWERS
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 teaching a client with genital herpes. Education for this client should
include an explanation of: - answer- the importance of informing his partner of the
disease.
A 25-year-old client asks the nurse how often and when she should perform breast self-
examinations. The nurse should tell her: - answer- every month, 7 to 10 days after
menses starts.
A male client should be taught about testicular examinations: - answer- before age 20.
When performing an abdominal assessment, the nurse should follow which examination
sequence? - answer- Inspection, auscultation, percussion, and palpation
, The nurse is providing teaching to a client who's at risk for coronary artery disease
(CAD). The nurse tells the client that CAD has many risk factors. Risk factors that can
be controlled or modified include: - answer- obesity, inactivity, diet, and smoking.
The nurse is collecting data on a client admitted with a diagnosis of small bowel
obstruction. When assessing the client's pulse rate, the nurse should: - answer- count
the apical or radial pulse for 60 seconds.
When inserting a urinary catheter, the nurse can facilitate the insertion by asking the
client to: - answer- breathe deeply.
The nurse is caring for a client with a colostomy. The client tells the nurse that he
makes small pin holes in the drainage bag to help relieve gas. The nurse should teach
him that this action: - answer- destroys the odor-proof seal.
A client is prescribed transcutaneous electrical nerve stimulation (TENS) for pain relief.
The rationale for using TENS is to: - answer- block painful stimuli traveling over small
nerve fibers.
The nurse must assess skin turgor of an elderly client. When evaluating skin turgor, the
nurse should remember that: - answer- inelastic skin turgor is a normal part of aging.
The nurse is assessing a client who may be in the early stages of dehydration. Early
manifestations of dehydration include: - answer- thirst or confusion.
A client who recently had a stroke requires a cane to ambulate. When teaching about
cane use, the rationale for holding a cane on the uninvolved side is to: - answer-
distribute weight away from the involved side.
The nurse is developing a teaching plan for a client who must undergo an above-the-
knee amputation of the left leg. After a leg amputation, exercise of the remaining limb: -
answer- should begin the day after surgery.
The nurse is preparing to remove a previously applied topical medication from a client.
The rationale for removing previously applied topical medications before applying new
medications is to: - answer- avoid administering more than the prescribed dose.
The nurse is administering eyedrops to a client with glaucoma. To achieve maximum
absorption, the nurse should instill the eyedrop into the: - answer- conjunctival sac.
The nurse is administering eardrops to an adult client. To straighten the ear canal in an
adult client before instilling the drops, the nurse should gently pull the: - answer- auricle
up and back.
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 teaching a client with genital herpes. Education for this client should
include an explanation of: - answer- the importance of informing his partner of the
disease.
A 25-year-old client asks the nurse how often and when she should perform breast self-
examinations. The nurse should tell her: - answer- every month, 7 to 10 days after
menses starts.
A male client should be taught about testicular examinations: - answer- before age 20.
When performing an abdominal assessment, the nurse should follow which examination
sequence? - answer- Inspection, auscultation, percussion, and palpation
, The nurse is providing teaching to a client who's at risk for coronary artery disease
(CAD). The nurse tells the client that CAD has many risk factors. Risk factors that can
be controlled or modified include: - answer- obesity, inactivity, diet, and smoking.
The nurse is collecting data on a client admitted with a diagnosis of small bowel
obstruction. When assessing the client's pulse rate, the nurse should: - answer- count
the apical or radial pulse for 60 seconds.
When inserting a urinary catheter, the nurse can facilitate the insertion by asking the
client to: - answer- breathe deeply.
The nurse is caring for a client with a colostomy. The client tells the nurse that he
makes small pin holes in the drainage bag to help relieve gas. The nurse should teach
him that this action: - answer- destroys the odor-proof seal.
A client is prescribed transcutaneous electrical nerve stimulation (TENS) for pain relief.
The rationale for using TENS is to: - answer- block painful stimuli traveling over small
nerve fibers.
The nurse must assess skin turgor of an elderly client. When evaluating skin turgor, the
nurse should remember that: - answer- inelastic skin turgor is a normal part of aging.
The nurse is assessing a client who may be in the early stages of dehydration. Early
manifestations of dehydration include: - answer- thirst or confusion.
A client who recently had a stroke requires a cane to ambulate. When teaching about
cane use, the rationale for holding a cane on the uninvolved side is to: - answer-
distribute weight away from the involved side.
The nurse is developing a teaching plan for a client who must undergo an above-the-
knee amputation of the left leg. After a leg amputation, exercise of the remaining limb: -
answer- should begin the day after surgery.
The nurse is preparing to remove a previously applied topical medication from a client.
The rationale for removing previously applied topical medications before applying new
medications is to: - answer- avoid administering more than the prescribed dose.
The nurse is administering eyedrops to a client with glaucoma. To achieve maximum
absorption, the nurse should instill the eyedrop into the: - answer- conjunctival sac.
The nurse is administering eardrops to an adult client. To straighten the ear canal in an
adult client before instilling the drops, the nurse should gently pull the: - answer- auricle
up and back.
