NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
An adult is scheduled for surgery today and has signed an operative permit. As the nurse is about to administer the client's preoperative medication, the client says that she has changed her mind and no longer wishes to have the surgery. How should the nurse respond?
Correct Answer: C
Rationale: The client has the right to withdraw consent. Notifying the physician allows discussion and respects autonomy. Signed consents are not binding, medication should be withheld, and reassurance dismisses concerns.
Extract:
Which of the following clinical conditions exacerbates electrolyte excretion?
Question 2 of 5
Nasogastric feedings
Correct Answer: B
Rationale: Surgical drains remove fluid and electrolytes, exacerbating excretion.
Extract:
Hypophonia:
Question 3 of 5
Hypophonia:
Correct Answer: A
Rationale: Hypophonia is reduced speech volume, often seen in Parkinson's disease.
Extract:
Question 4 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.
Extract:
The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:
Question 5 of 5
The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:
Correct Answer: C
Rationale: Obstructive jaundice causes dark urine, clay-colored stools, and itchy skin due to bilirubin buildup.