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
Extract:
A 30-year-old pregnant mother, in her third trimester, asks the community nurse what position is best for her to prevent heartburn.
Question 2 of 5
The nurse correctly recommends the
Correct Answer: D
Rationale: Elevating the head of the bed post-meals prevents reflux, reducing heartburn.
Extract:
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 teaching a client about erythema infectiosum. Which of the following factors are not correct?
Correct Answer: B
Rationale: Erythema infectiosum (Fifth disease) is common in adults, contrary to the statement. The other factors are correct: it typically presents with a 'slapped face' rash, no fever, and a characteristic rash. Safety and Infection Control
Question 5 of 5
A woman who has emphysema is on continuous oxygen therapy. She appears anxious and short of breath. Her husband increases the oxygen flow to 6 L/min. The nurse knows this action is most likely to:
Correct Answer: D
Rationale: Increasing oxygen flow in emphysema can suppress the hypoxic drive, risking respiratory depression, a serious concern.