NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
The physician orders a paracentesis for a patient with ascites.
Question 1 of 5
Before the procedure, the nurse should instruct the patient to:
Correct Answer: A
Rationale: Emptying the bladder prevents injury during paracentesis needle insertion.
Extract:
Patient education for hypothyroidism would include instructing the patient that
Question 2 of 5
After 2 months they may discontinue their thyroid medication.
Correct Answer: C
Rationale: Due to inadequate T3 and T4 in hypothyroidism, thyroid preparations are taken for a lifetime to maintain normal metabolism.
Extract:
Question 3 of 5
The nurse is caring for a client with a history of gastroesophageal reflux disease (GERD). Which of the following lifestyle modifications should the nurse recommend?
Correct Answer: C
Rationale: Avoiding lying down for 2–3 hours after eating prevents acid reflux by allowing gastric emptying. Large meals (
A) worsen reflux, sleeping flat (
B) increases symptoms, and citrus fruits (
D) are acidic and irritating.
Question 4 of 5
Which of these variations in the newborn results from the presence of maternal hormones?
Correct Answer: A
Rationale: Engorgement of the breasts. Breast engorgement occurs in both sexes as a result of the withdrawal of maternal hormones after birth.
Question 5 of 5
The nurse is caring for a client in the emergency department who presents with a complaint of fatigue and shortness of breath. Which physical assessment findings if noted by the nurse warrants a need for follow up?
Correct Answer: C
Rationale: A reddish purple mark on the neck (e.g., bruising or petechiae) with fatigue and shortness of breath may indicate a hematologic or cardiovascular issue, requiring follow-up. Reddened sclera, scalp flaking, or rashes are less urgent and unrelated to the primary symptoms.