NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting. The physician orders total parenteral nutrition (TPN), a nutritional consult, and diet recall. Which of the following is the BEST indication that the patient's nutritional status has improved after 4 days?
Correct Answer: C
Rationale: Albumin levels are the best indicator of long-term nutritional status, reflecting protein stores. A level of 4.0 mg/dL (normal range 3.5–5.0 g/dL) suggests improved nutrition after TPN. Eating more (
A) is subjective, weight gain (
B) may reflect fluid retention, and low hemoglobin (
D) is unrelated to nutrition and more likely due to cancer or chemotherapy.
Question 2 of 5
The nurse is caring for an older client who insists on having a 'hot toddy' laced with liquor at bedtime to help her sleep. How should the nurse respond in order to give culturally sensitive and appropriate care?
Correct Answer: A
Rationale: Exploring the cultural or personal significance of the hot toddy shows respect, fostering culturally sensitive care.
Question 3 of 5
The nurse is caring for a client with a history of Crohn’s disease who reports abdominal pain and diarrhea. Which of the following dietary recommendations should the nurse provide?
Correct Answer: B
Rationale: A low-residue, high-protein diet minimizes bowel irritation and supports nutrition in Crohn’s disease, reducing diarrhea and pain. High-fiber (
A) worsens symptoms, high-sodium (
C) is unnecessary, and low-protein (
D) hinders tissue repair.
Question 4 of 5
The nurse is caring for several clients who will be undergoing diagnostic tests. Which client must the nurse ask about allergies to shellfish? An adult who is scheduled for:
Correct Answer: B
Rationale: Shellfish allergies may indicate iodine sensitivity, critical for contrast dye used in CT scans, unlike MRI, EEG, or sleep studies.
Question 5 of 5
A child at school trips on a shoe lace and falls. Her ankle swells immediately, and the child is in a great deal of pain. What is the best initial action for the nurse to take?
Correct Answer: C
Rationale: Elevation and ice reduce swelling and pain in acute ankle injuries, following RICE (rest, ice, compression, elevation) principles.