NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 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 2 of 5
An IV is infusing at 30 gtt/min. If the drop factor is 20 gtt/mL, what would this rate of flow equal in mL/h?
Correct Answer: D
Rationale: (30 gtt/min ÷ 20 gtt/mL) × 60 min/h = 90 mL/h. Other options are incorrect calculations.
Question 3 of 5
Which sign might the nurse see in a client with a high ammonia level?
Correct Answer: A
Rationale: High ammonia levels, often due to liver dysfunction, can lead to hepatic encephalopathy, with coma as a severe symptom. The other signs are not directly related to hyperammonemia. Reduction of Risk Potential
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
Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?
Correct Answer: C
Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.