NCLEX-PN Test #1 Flashcards
6 cards from real NCLEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 NCLEX-PN Test #1 flashcards as text
A client diagnosed with heart failure is prescribed furosemide (Lasix). Which assessment finding indicates the medication is effective?
Answer: Reduced peripheral edema
Furosemide is a loop diuretic that reduces fluid volume. Decreased peripheral edema indicates effective diuresis and reduced fluid overload.
A nurse is collecting data on a client admitted with suspected appendicitis. Which finding is most consistent with this diagnosis?
Answer: Rebound tenderness at McBurney's point
McBurney's point tenderness and rebound tenderness in the right lower quadrant are classic findings in appendicitis.
A practical nurse is caring for a client receiving a blood transfusion. Which sign should prompt the nurse to stop the transfusion immediately?
Answer: Urticaria with facial flushing and dyspnea
Urticaria with facial flushing and dyspnea indicate a potentially severe transfusion reaction requiring immediate discontinuation.
Which nursing intervention is most important for preventing deep vein thrombosis (DVT) in a post-surgical client?
Answer: Encouraging early ambulation
Early ambulation is the most effective nursing intervention for preventing DVT because movement promotes venous return and prevents blood stasis.
A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). Which oxygen delivery method and flow rate is most appropriate?
Answer: Nasal cannula at 1-2 L/min
Clients with COPD require low-flow oxygen (1-2 L/min via nasal cannula) because high concentrations may suppress their hypoxic respiratory drive.
A client is admitted with a serum potassium level of 6.2 mEq/L. Which cardiac rhythm change should the nurse anticipate on the electrocardiogram?
Answer: Peaked (tall) T waves
Hyperkalemia (potassium above 5.0 mEq/L) characteristically produces tall, peaked T waves on the ECG.