NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is experiencing anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. What would the nurse's best response to this request?
Correct Answer: C
Rationale: Children with AGN who have edema, hypertension oliguria and azotemia may have dietary restrictions limiting sodium, fluids, protein and potassium. Giving the child a short explanation and offering to talk about an alternative is appropriate for this age.
Question 2 of 5
A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:
Correct Answer: B
Rationale: The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change. Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment.
Question 3 of 5
The nurse is caring for a client with a history of multiple sclerosis. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: A cool environment prevents symptom exacerbation in multiple sclerosis, as heat worsens neurological symptoms. High-intensity exercise (
A) may cause fatigue, muscle relaxants (
C) depend on symptoms, and fluid restriction (
D) is inappropriate.
Question 4 of 5
The nurse is evaluating the growth and development of a toddler with AIDS. The nurse would anticipate finding that the child has
Correct Answer: D
Rationale: Delay in achievement of most developmental milestones. The majority of children with AIDS have neurological involvement, leading to developmental delays and potential loss of milestones.
Question 5 of 5
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?
Correct Answer: B
Rationale: An increased WBC count indicates infection, probably resulting from peritonitis, which may have been caused by insertion of the peritoneal catheter into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in this client, the value isn't abnormally low because of the daily blood samplings. A lower HCT is common in clients with chronic renal failure because of the lack of erythropoietin.