NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
A young adult male has been diagnosed with testicular cancer. Which of these statements by this client would need to be explored by the nurse to clarify his understanding?
Correct Answer: C
Rationale: Stage 3 is the most extensive involvement of cancer with any type, indicating a need to clarify the client's misunderstanding.
Question 2 of 5
Order: Nitroglycerine 50 mg in 250 mL normal saline, infuse at 10 mcg/min. Calculate the rate in mL/h.
Correct Answer: B
Rationale: 50 mg = 50,000 mcg. 250 mL ÷ 50,000 mcg = 0.005 mL/mcg. 10 mcg/min × 0.005 mL/mcg × 60 min/h = 3 mL/h. Other options are incorrect.
Question 3 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.
Question 4 of 5
Which approach is a priority for the nurse who works with clients from many different cultures?
Correct Answer: D
Rationale: The nurse must discover personal attitudes, prejudices and biases specific to different cultures. Awareness of these will prevent negative consequences for interactions with clients and families across cultures.
Question 5 of 5
A nurse is caring for a patient with a tracheostomy. Which of the following actions should the nurse take to prevent complications?
Correct Answer: C
Rationale: Keeping the cuff inflated maintains airway patency and prevents aspiration, but pressure must be monitored to avoid tracheal damage. Routine suctioning, hydrogen peroxide, and daily tie changes are not standard.