NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
A patient with cirrhosis is experiencing ascites. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: Diuretics reduce fluid overload in ascites, as prescribed. High-sodium diets worsen fluid retention, fluid restriction is typically 1–1.5 liters, and supine positioning may impair breathing.
Question 2 of 5
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which of the following oxygen delivery devices is most appropriate for this patient?
Correct Answer: C
Rationale: The Venturi mask delivers precise oxygen concentrations, critical for COPD patients to avoid CO2 retention. Nasal cannulas are less precise, and non-rebreather or simple masks deliver high oxygen inappropriately.
Extract:
In addition to the relief of pain, the nurse should direct the care for a patient with sickle cell crisis toward:
Question 3 of 5
In addition to the relief of pain, the nurse should direct the care for a patient with sickle cell crisis toward:
Correct Answer: B
Rationale: Oxygenation and hydration prevent further sickling and promote tissue perfusion.
Extract:
Question 4 of 5
A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:
Correct Answer: C
Rationale: BMI is calculated as weight (kg) / height (m)^2. For 216 lbs (98 kg) and 66 inches (1.68 m), BMI = 98 / (1.68)^2 ≈ 35, indicating obesity (BMI ≥ 30). Physiological Adaptation
Extract:
The family of a terminally-ill client asks the nurse to help them end the suffering of her loved ones.
Question 5 of 5
Which of the following would be the most appropriate response by the nurse?
Correct Answer: B
Rationale: Euthanasia violates nursing ethics, and this response clearly communicates the ethical stance.