NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should be implemented
Correct Answer: D
Rationale: Positioning in high Fowler’s promotes lung expansion and eases breathing immediately in COPD. Bronchodilators, pursed-lip breathing, and oxygen adjustments are secondary, requiring orders or more time.
Question 2 of 5
Which nursing action is essential when providing continuous enteral feeding?
Correct Answer: A
Rationale: Elevating the head of the bed at least 30 degrees during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on the right side. The nurse should give enteral feedings at room temperature to minimize GI distress.
To limit microbial growth, the nurse should hang only the amount of formula that can be infused in 8 hours.
Question 3 of 5
After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?
Correct Answer: B
Rationale: Nausea and decreased NG tube output suggest possible obstruction. Aspirating with a syringe confirms tube placement and checks for blockages by testing the pH of aspirate (0–4 indicates gastric placement). Irrigation (
A) uses normal saline, not distilled water, and only after placement confirmation. Antiemetics (
C) or tube replacement (
D) do not address the cause.
Question 4 of 5
An infant has just returned from surgery for placement of a gastrostomy tube as an initial treatment for tracheoesophageal fistula. The mother asks: 'When can the tube can be used for feeding?' The nurse's best response would be which of these comments?
Correct Answer: C
Rationale: The stomach contents and air must be drained first.' After surgery for gastrostomy tube placement, the catheter is left open and attached to gravity drainage for 24 hours or more.
Question 5 of 5
The licensed practical nurse is preparing to administer an injection of vitamin K to a newborn. The nurse should administer the injection in the:
Correct Answer: B
Rationale: The vastus lateralis is the preferred site for newborn IM injections due to its large muscle mass and safety. Other sites are less developed or risk nerve damage.