NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
When giving NG feeding, the nurse was observed of not checking the NGT placement prior to administering the feeding in spite of previous instructions from a colleague.
Question 1 of 5
Appropriate action taken at this time would include:
Correct Answer: C
Rationale: Reminding the colleague reinforces safe practice without escalating unnecessarily.
Extract:
Question 2 of 5
A 74 year-old male is admitted due to inability to void. He has a history of an enlarged prostate and has not voided in 14 hours. When assessing for bladder distension, the best method for the nurse to use is to assess for
Correct Answer: C
Rationale: Rounded swelling above the pubis. Swelling above the pubis is representative of a distended bladder in the male client.
Extract:
The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.
Question 3 of 5
The nurse should immediately:
Correct Answer: B
Rationale: The imbalance in intake and output, with decreasing urinary output, may indicate renal failure or fluid overload, potentially leading to congestive heart failure. Assessing breath sounds and vital signs is the first step.
Extract:
Hypophonia:
Question 4 of 5
Hypophonia:
Correct Answer: A
Rationale: Hypophonia is reduced speech volume, often seen in Parkinson's disease.
Extract:
If your patient is in pain most of the day, administer analgesic doses
Question 5 of 5
If your patient is in pain most of the day, administer analgesic doses
Correct Answer: B
Rationale: Regularly scheduled analgesics maintain consistent pain control.