NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
An adult is admitted for surgery for a secreting adrenal tumor. In the immediate postoperative period, which nursing action will be highest priority?
Correct Answer: B
Rationale: Adrenal tumor resection may cause adrenal insufficiency; administering adrenal hormones is critical to replace deficient cortisol, preventing crisis. Liquids, breathing exercises, and pain management are secondary.
Question 2 of 5
The nurse is assessing a client with a deep vein thrombosis. Which of the following signs and/or symptoms would the nurse anticipate finding?
Correct Answer: C
Rationale: Swelling of lower extremity. The most common signs of deep vein thrombosis are pain in the region of the thrombus and unilateral swelling distal to the site.
Question 3 of 5
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, 'I need this surgery because nothing else I have done has helped me to lose weight.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: Respecting the client's informed decision for surgery demonstrates empathy and professionalism. The other responses are judgmental or dismissive of her situation. Physiological Adaptation
Question 4 of 5
A client with diverticulitis has received nutritional discharge instructions for a high-fiber diet. Which menu selection by the client would reinforce that the teaching was effective?
Correct Answer: C
Rationale: This diet has the highest amount of fiber. Answers A, B, and D have low amounts of fiber, so they're incorrect.
Question 5 of 5
The mother of a child with a neural tube defect asks the nurse what she can do to decrease the chances of having another baby with a neural tube defect. What is the best response by the nurse?
Correct Answer: A
Rationale: The American Academy of Pediatrics recommends that all childbearing women increase folic acid from dietary sources and/or supplements. There is evidence that increased amounts of folic acid prevents neural tube defects.