NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client calls the evening health clinic to state 'I know I have a severely low sugar since the Lantus insulin was given 3 hours ago and it peaks in 2 hours.' What should be the nurse's initial response to the client?
Correct Answer: B
Rationale: When a client has changed from stable to unstable, the nurse's initial response should be to do further assessment of the client.
Question 2 of 5
A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distension, the best method for the nurse to use is to assess for
Correct Answer: C
Rationale: Rounded swelling above the pubis. Swelling above the pubis is representative of a distended bladder in the male client.
Question 3 of 5
A case management clinical pathway for congestive heart failure might include all of the following except:
Correct Answer: D
Rationale: Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through a health care system. Insurance review for reimbursement is a function of an outside agency from the health care provider.
Question 4 of 5
At what point in the nurse-client relationship should termination first be addressed?
Correct Answer: C
Rationale: Addressing termination in the orientation phase sets clear expectations for the relationship's duration, ensuring transparency. Waiting until later phases or client initiation is less structured. Coordinated Care
Question 5 of 5
Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?
Correct Answer: D
Rationale: Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing, or scissoring leg movements.