NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:
Correct Answer: C
Rationale: BMI is calculated as weight (kg) / height (m)^2. For 216 lbs (98 kg) and 66 inches (1.68 m), BMI = 98 / (1.68)^2 ≈ 35, indicating obesity (BMI ≥ 30). Physiological Adaptation
Question 2 of 5
The nurse is caring for a client who is receiving total parenteral nutrition (TPN) (hyperalimentation and lipids). What is the priority nursing action on every 8 hour shift?
Correct Answer: C
Rationale: Because of the high dextrose and protein content in parenteral nutrition, the nurse should assess the urine at least every 8 hours.
Question 3 of 5
The family of a young adult who has been declared brain dead following an auto accident is approached by the physician about organ donation. Later they ask the nurse, 'If we donate the organs, can we still have a viewing and a regular funeral?' How should the nurse respond?
Correct Answer: A
Rationale: Organ donation surgery is performed carefully to preserve the body's appearance, allowing open-casket viewing and normal funeral proceedings, independent of accident injuries or clergy views.
Question 4 of 5
A client is receiving nitroglycerin ointment (Nitrol) to treat angina pectoris. The nurse evaluates the therapeutic effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital sign is most likely to reflect an adverse effect of nitroglycerin?
Correct Answer: C
Rationale: Hypotension and headache are the most common adverse effects of nitroglycerin.
Therefore, blood pressure is the vital sign most likely to reflect an adverse effect of this drug. The nurse should check the client's blood pressure 1 hour after administering nitroglycerin ointment. A blood pressure decrease of 10 mm Hg is within the therapeutic range. If blood pressure falls more than 20 mm Hg below baseline, the nurse should remove the ointment and report the finding to the physician immediately. An above-normal heart rate (tachycardia) is a less common adverse effect of nitroglycerin. Respiratory rate and temperature don't change significantly after nitroglycerin administration.
Question 5 of 5
The drug of choice to decrease uric acid levels is:
Correct Answer: B
Rationale: Allopurinol reduces uric acid production, making it the drug of choice for gout management. The other medications address inflammation, pain, or fluid balance, not uric acid directly. Physiological Adaptation