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:
A mother with cystic fibrosis child is receiving health teaching from the nurse regarding danger signs of her illness.
Question 2 of 5
The mother has best understood the teaching when she says:
Correct Answer: C
Rationale: Respiratory distress, indicated by tiredness, is a critical danger sign in cystic fibrosis.
Extract:
Question 3 of 5
For a client with suspected appendicitis, the nurse should expect to find abdominal tenderness in which quadrant?
Correct Answer: C
Rationale: Appendicitis typically causes tenderness in the lower-right quadrant (McBurney's point) due to the appendix's anatomical location. Physiological Adaptation
Question 4 of 5
A client who is immobilized secondary to traction is complaining of constipation. Which of the following medications should the nurse expect to be ordered?
Correct Answer: D
Rationale: Colace, a stool softener, is appropriate for constipation in immobilized clients, as it promotes softer stools without systemic effects. The other options are NSAIDs, not laxatives. Basic Care and Comfort
Question 5 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.