NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse's teaching about discontinuing the medication?
Correct Answer: C
Rationale: Gradual tapering, as described, prevents withdrawal symptoms from benzodiazepines like Xanax. The other statements reflect misunderstandings about safe discontinuation. Psychosocial Integrity
Question 2 of 5
Which nursing action is essential when providing continuous enteral feeding?
Correct Answer: A
Rationale: Elevating the head of the bed at least 30 degrees during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on the right side. The nurse should give enteral feedings at room temperature to minimize GI distress.
To limit microbial growth, the nurse should hang only the amount of formula that can be infused in 8 hours.
Question 3 of 5
Which safety device is most restrictive for a client with dementia?
Correct Answer: D
Rationale: The goal of care for clients with dementia is to maintain the highest level of functioning. When restraints must be used, the least restrictive type of restraint possible should be used. A lap tray over a wheelchair severely limits the client's mobility and can cause injury if the client tries to get out of the wheelchair. A walker can be very helpful to clients with dementia as they commonly have unsteady gaits. Childproof locks are helpful in preventing accidental contact with harmful substances. An electronic monitoring system is an effective way of managing a client who wanders.
Extract:
When assessing a patient with pleural effusion, the nurse should expect to find:
Question 4 of 5
When assessing a patient with pleural effusion, the nurse should expect to find:
Correct Answer: C
Rationale: Pleural effusion causes fluid accumulation, reducing or eliminating breath sounds at the lung base.
Extract:
Two hours post below knee amputation, the patient's dressing was saturated with serosanguinous secretions.
Question 5 of 5
In addition to notifying the surgeon, the priority nursing action would include:
Correct Answer: C
Rationale: Reinforcing the dressing helps control bleeding while awaiting further instructions from the surgeon, addressing the immediate issue of saturated dressings.