NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
A patient is prescribed amoxicillin for a bacterial infection. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Taking amoxicillin with food reduces gastrointestinal upset, improving adherence. Stopping early risks resistance, dairy is not contraindicated, and empty stomach is unnecessary.
Extract:
Which of the following types of diet is implicated in the development of diverticulosis?
Question 2 of 5
Which of the following types of diet is implicated in the development of diverticulosis?
Correct Answer: A
Rationale: A low-fiber diet increases colon pressure, contributing to diverticulosis formation.
Extract:
Question 3 of 5
A client with abdominal surgery is admitted to the recovery room with an NG tube to low suction. Which of the following lab values indicates a complication of NG suction?
Correct Answer: B
Rationale: NG suction can lead to loss of gastric fluid, causing hypernatremia (elevated sodium, as seen with Na 150 mEq/L) due to dehydration and electrolyte imbalance.
Question 4 of 5
An elderly client has returned to her room following internal fixation of a fractured hip. To prevent dislocation of the hip prosthesis, the nurse should:
Correct Answer: D
Rationale: Maintaining the hip in an abducted position prevents dislocation of the prosthesis. Adduction or lying on the affected side increases dislocation risk. Supine is neutral but less specific.
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. He was prescribed some breathing medication by his family physician. However, for the last two months he noted progression of the severity of symptoms and new medications were prescribed. A week prior to admission, his difficulty in breathing worsened. There was non-productive cough, easy fatiguability and basilar rales. He was diagnosed with respiratory problems with acute exacerbation and stemming pneumonia. He was started on antibiotics, IV solumedrol Q6 hourly, oxygen at 2 L/NC; bed rest; diet as tolerated; and ABG. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 5 of 5
What prevents air from entering the chest space when a patient has a chest tube?
Correct Answer: A
Rationale: The water seal chamber prevents air re-entry, maintaining negative pleural pressure.