NCLEX-PN Test #1 2

Question 1

A client diagnosed with heart failure is prescribed furosemide (Lasix). Which assessment finding indicates the medication is effective?

Accepted Answer

Reduced peripheral edema

Answer

Furosemide is a loop diuretic that reduces fluid volume. Decreased peripheral edema indicates effective diuresis and reduced fluid overload.

Question 2

A nurse is collecting data on a client admitted with suspected appendicitis. Which finding is most consistent with this diagnosis?

Accepted Answer

Rebound tenderness at McBurney's point

Answer

McBurney's point tenderness and rebound tenderness in the right lower quadrant are classic findings in appendicitis.

Question 3

A practical nurse is caring for a client receiving a blood transfusion. Which sign should prompt the nurse to stop the transfusion immediately?

Accepted Answer

Urticaria with facial flushing and dyspnea

Answer

Urticaria with facial flushing and dyspnea indicate a potentially severe transfusion reaction requiring immediate discontinuation.

Question 4

Which nursing intervention is most important for preventing deep vein thrombosis (DVT) in a post-surgical client?

Accepted Answer

Encouraging early ambulation

Answer

Early ambulation is the most effective nursing intervention for preventing DVT because movement promotes venous return and prevents blood stasis.

Question 5

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). Which oxygen delivery method and flow rate is most appropriate?

Accepted Answer

Nasal cannula at 1-2 L/min

Answer

Clients with COPD require low-flow oxygen (1-2 L/min via nasal cannula) because high concentrations may suppress their hypoxic respiratory drive.

NCLEX Practice Test