NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?
Correct Answer: B
Rationale: Respect for differences is demonstrated by incorporating traditional cultural practices for staying healthy into professional prescriptions and interventions. The challenge for the health care provider is to understand the client's perspective. 'Culture care preservation or maintenance refers to those assistive, supporting, facilitative or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values to that they can maintain their well-being, recover from illness or face handicaps and/or death.'
Extract:
To evaluate possible laryngeal nerve injury following a thyroidectomy, the nurse on an hourly basis should:
Question 2 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 3 of 5
The nurse is caring for a client with a colostomy. The client reports that the colostomy bag is leaking. The nurse should
Correct Answer: C
Rationale: A leaking colostomy bag may indicate poor fit, skin irritation, or stoma changes, so assessing the stoma and peristomal skin is the first step to determine the cause and plan interventions. Taping (
A) is temporary, emptying/reapplying (
B) may not address the issue, and physician notification (
D) is premature.
Extract:
Screening for high blood cholesterol in the community is under:
Question 4 of 5
Screening for high blood cholesterol in the community is under:
Correct Answer: C
Rationale: Cholesterol screening is secondary prevention, identifying at-risk individuals for early intervention.
Extract:
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.