NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client is taking hydrocodone (Vicodin) for chronic back pain. The client has required an increase in the dose and asks whether this means he is addicted to Vicodin. The nurse should base her reply on the knowledge that:
Correct Answer: A
Rationale:
Tolerance, requiring higher doses for the same effect, is common with long-term opioid use and does not equate to addiction. Addiction involves psychological dependence, not described here. Psychosocial Integrity
Question 2 of 5
To prevent drug resistance from developing, the nurse is aware that which of the following is a characteristic of the typical treatment plan to eliminate the tuberculosis bacilli?
Correct Answer: D
Rationale: Administering two anti-tuberculosis drugs. Resistance of the tubercle bacilli often occurs to a single antimicrobial agent.
Therefore, therapy with multiple drugs over a long period of time helps to ensure eradication of the organism.
Question 3 of 5
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?
Correct Answer: D
Rationale:
To prevent dumping syndrome post-gastrectomy, clients should avoid large meals high in simple sugars and liquids, which can cause rapid gastric emptying. Clients should recline for 30 minutes after eating (not sit up,
A), drink fluids between meals (not avoid,
B), and reduce carbohydrate intake (not increase,
C).
Question 4 of 5
The nurse is caring for a client who underwent a lumbar laminectomy 24 hours ago. Which of the following interventions is MOST important?
Correct Answer: D
Rationale: Urinary retention is a common complication post-laminectomy due to spinal anesthesia or nerve irritation, requiring close monitoring to prevent bladder distension. Ambulation (
A) and analgesics (
C) are important, and flat positioning (
B) is recommended but secondary to bladder assessment.
Question 5 of 5
A nurse is teaching a patient about a low-sodium diet. Which of the following foods should the patient avoid?
Correct Answer: B
Rationale: Canned soups are high in sodium, worsening conditions like hypertension or heart failure. Fresh fruits, whole grains, and lean meats are low-sodium and appropriate for the diet.