NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client:
Correct Answer: B
Rationale: The client whose vision is corrected to 20/200 is by definition legally blind because he is able to see at 20 feet what the healthy eye can see at 200 feet. Answer A refers to a refractive error, which is corrected by eyeglasses or one of the laser procedures. Answer C is an inability to focus on near objects due to a loss of elasticity of the lens and is corrected by the use of bifocal eye glasses. Answer D does not apply because the client would experience difficulty with vision at night or in dim lighting. Answers A, C, and D are incorrect because they do not explain what is meant by a visual acuity of 20/200.
Question 2 of 5
Post-procedure nursing interventions for electroconvulsive therapy include
Correct Answer: C
Rationale: Remaining with client until oriented. The client is groggy and confused post-procedure, requiring close monitoring until fully oriented.
Question 3 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Question 4 of 5
An adult who is on dialysis asks if he can take insulin before the dialysis treatment. Which of the following statements is true about insulin and dialysis and should be included in the nurse's reply?
Correct Answer: A
Rationale: Insulin is not significantly removed by hemodialysis, so it can be taken before treatment without loss of efficacy. It does not enhance dialysis, nor is it destroyed or stimulated by dialysis.
Extract:
Teach family members caring for a patient with dementia to
Question 5 of 5
Teach family members caring for a patient with dementia to
Correct Answer: D
Rationale: Familiarity reduces confusion and agitation in dementia patients.