NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 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.
Question 2 of 5
Which of the following nursing assessments for an infant is most valuable in identifying serious visual defects?
Correct Answer: A
Rationale: Red reflex test. A uniform red reflex rules out most serious defects of the cornea, lens, and vitreous chamber.
Question 3 of 5
Which safety device is most restrictive for a client with dementia?
Correct Answer: D
Rationale: The goal of care for clients with dementia is to maintain the highest level of functioning. When restraints must be used, the least restrictive type of restraint possible should be used. A lap tray over a wheelchair severely limits the client's mobility and can cause injury if the client tries to get out of the wheelchair. A walker can be very helpful to clients with dementia as they commonly have unsteady gaits. Childproof locks are helpful in preventing accidental contact with harmful substances. An electronic monitoring system is an effective way of managing a client who wanders.
Extract:
The child with PKU is encouraged to eat food such as
Question 4 of 5
Meat and poultry.
Correct Answer: B
Rationale: In PKU, the absence of hepatic enzyme phenylalanine hydroxylase prevents normal metabolism of phenylalanine, and a low-phenylalanine diet is essential to prevent mental retardation.
Extract:
Mr. Lou, 65 years old, with liver cirrhosis was ordered neomycin enema
Question 5 of 5
Mr. Lou, 65 years old, with liver cirrhosis was ordered neomycin enema for which of the following goals?
Correct Answer: B
Rationale: Neomycin enemas reduce ammonia-producing bacteria, improving consciousness in hepatic encephalopathy.