NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?
Correct Answer: B
Rationale: An increased WBC count indicates infection, probably resulting from peritonitis, which may have been caused by insertion of the peritoneal catheter into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in this client, the value isn't abnormally low because of the daily blood samplings. A lower HCT is common in clients with chronic renal failure because of the lack of erythropoietin.
Question 2 of 5
When taking a dietary history from a newly admitted client, the nurse should remember that which of the following foods is a common allergen?
Correct Answer: D
Rationale: Common food allergens include berries, peanuts, Brazil nuts, cashews, shellfish, and eggs. Bread, carrots, and oranges rarely cause allergic reactions.
Question 3 of 5
The nurse is providing home care to a confused client. The client's family is using a restraint to keep the client from pulling out her indwelling catheter. What should the nurse plan to include when teaching the family?
Correct Answer: B
Rationale: Checking restrained extremities hourly ensures circulation and prevents injury. Scheduled removal, supervision-based removal, or nurse-only removal are less practical or safe.
Question 4 of 5
The nurse is caring for a postcholecystectomy client who had the T-tube removed this AM. Two hours after removal of the T-tube, the nurse notes that the 4x4 dressing covering the stab site is saturated with dark, greenish-yellow drainage. It is MOST appropriate for the nurse to take which of the following actions?
Correct Answer: A
Rationale: Dark, greenish-yellow drainage is expected bile post-T-tube removal, and a saturated dressing indicates ongoing drainage until the wound seals. Replacing with a more absorbent dressing keeps the site clean and dry, preventing infection. Culturing (
B) is unnecessary without infection signs, dehiscence (
C) is unlikely, and reinforcing (
D) risks infection.
Extract:
The nursing intervention that should be instituted immediately to relieve the symptoms associated with the patient's hypoglycemic reaction include:
Question 5 of 5
Giving 8 oz of fruit juice with 2 tablespoon of sugar.
Correct Answer: A
Rationale: Fruit juice with sugar provides rapid glucose to reverse hypoglycemia effectively.