NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with a new colostomy. Which of the following statements indicates the patient needs further teaching?
Correct Answer: B
Rationale: Saying 'I can eat whatever I want' indicates a misunderstanding, as dietary restrictions (e.g., avoiding gas-forming foods) are needed to manage colostomy output. Other statements reflect correct care.
Extract:
Three days following surgery, a client with cast on his right leg would like to ambulate for the first time. He has not been seen by the physical therapist. For the last three days he has been sitting on the edge of the bed with feet dangling. Today, he called the nurse to walk him to the washroom.
Question 2 of 5
Using a sound judgment, the nurse's most appropriate response would be which of the following?
Correct Answer: D
Rationale: Consulting the physician ensures safe ambulation, as the patient has not been assessed by physical therapy.
Extract:
Question 3 of 5
A client receiving total parental nutrition is prescribed a 24-hour urine test. When initiating a 24-hour urine specimen, the collection time should:
Correct Answer: B
Rationale: When initiating a 24-hour urine specimen, have the client void, and then start timing. The collection should start on an empty bladder. The exact time the test starts isn't important, but it's commonly started in the morning.
Question 4 of 5
A nurse is to administer 500 mL of IV fluid over 4 hours. The IV tubing has a drop factor of 20 drops per mL. What is the flow rate in drops per minute?
Correct Answer: B
Rationale: 500 mL ÷ 4 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 20 gtt/mL = 41.67 gtt/min, rounded to 42 gtt/min. Other options are incorrect.
Question 5 of 5
An 8-year-old boy has just had a fiberglass cast applied to his right lower leg following a fractured ankle. The nurse is discussing care of the cast with the parents. Which instruction should be included?
Correct Answer: B
Rationale: Checking toes for warmth ensures circulation, detecting complications like compartment syndrome early. Bathing, drying time, and leg position are incorrect for fiberglass casts.