NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client has developed thrombophlebitis of the left leg. Which nursing intervention should be given the highest priority?
Correct Answer: A
Rationale: Elevate the leg on 2 pillows. The first goal of nonpharmacologic interventions is to minimize edema of the affected extremity by leg elevation.
Extract:
The PN assigned to Francis knows the importance of rotating insulin injection sites.
Question 2 of 5
Injection should be given in any one spot more often than every two weeks. Site rotation is important to prevent or combat which of the following complications?
Correct Answer: A
Rationale:
To avoid tissue atrophy or hypertrophy, patients should be taught to avoid injecting insulin in the same site each time. Rotating sites ensures consistent insulin absorption.
Extract:
To evaluate possible laryngeal nerve injury following a thyroidectomy, the nurse on an hourly basis should:
Question 3 of 5
Ask the patient to speak.
Correct Answer: A
Rationale: If the laryngeal nerves are injured bilaterally during surgery, the vocal cords will tighten, interfering with speech. If one cord is affected, hoarseness develops. This can be evaluated simply by having the patient speak every hour.
Extract:
Question 4 of 5
The nurse is caring for a client with delirium. Which of the following is most important for the nurse to provide the client?
Correct Answer: A
Rationale: Providing a safe environment is the most important aspect of caring for a client with delirium. Although all other options are logical and appropriate, meeting the client's safety needs takes priority.
Extract:
A patient has been started on metformin for type 2 DM.
Question 5 of 5
You would tell your patient that the most common side effects of this drug are:
Correct Answer: C
Rationale: Frequent side effects of metformin include nausea and abdominal discomfort. Liver and kidney function tests are recommended before starting and periodically thereafter.