NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
An older man is seen in the outpatient clinic for treatment of an acute attack of gout. Which of the following nursing interventions would be MOST beneficial in decreasing the client's pain during ambulation?
Correct Answer: B
Rationale: Partial weight bearing reduces pressure on the inflamed joint, alleviating gout pain during ambulation. Passive exercises (
A) may worsen pain, immobilization (
C) increases stiffness, and restricting walking (
D) does not directly relieve pain.
Question 2 of 5
Order: 2000 mL D5W IV infused in six hours. The drop factor is 15 gtt/mL. Calculate the flow rate in gtt/min.
Correct Answer: C
Rationale: 2000 mL ÷ 6 hours = 333.33 mL/h. (333.33 mL/h ÷ 60 min) × 15 gtt/mL = 83.33 gtt/min, rounded to 83 gtt/min. Other options are incorrect.
Question 3 of 5
A postpartum client requires teaching about breast-feeding. To prevent breast engorgement, the nurse should instruct her to:
Correct Answer: C
Rationale: Frequent breast-feeding empties the breasts and increases circulation, helping to remove fluid that may lead to engorgement. If the infant isn't ill or physically impaired and can breast-feed, the client shouldn't use an electric breast pump because this deprives the infant of optimal sucking and skin-to-skin contact with the mother. Applying warm, moist compresses stimulates the let-down reflex and causes the breasts to fill, which may lead to engorgement. A brassiere supports the breasts but doesn't prevent engorgement.
Question 4 of 5
Which of the following dietary choices should be avoided by a client with a recent bone marrow transplant?
Correct Answer: D
Rationale: Raw apples may harbor bacteria, posing an infection risk for immunocompromised clients post-bone marrow transplant.
Question 5 of 5
A depressed client in an assisted living facility tells the nurse that 'life isn't worth living anymore.' What is the best response to this statement?
Correct Answer: B
Rationale: It is appropriate and necessary to determine if someone who has voiced thoughts about death is considering a suicidal act. This response is most therapeutic in the circumstances.