NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
During a routine examination, the nurse notes that the client seems unusually anxious. Anxiety can affect the genitourinary system by:
Correct Answer: D
Rationale: Anxiety may stimulate or hinder micturition. Its most noticeable effect is to cause frequent voiding and urinary urgency. However, when anxiety leads to generalized muscle tension, it may hinder urination because the perineal muscles must relax to complete micturition. Anxiety doesn't slow the glomerular filtration rate, increase sodium resorption, or decrease potassium excretion.
Question 2 of 5
The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.
Correct Answer: A,C
Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of osteoporosis about lifestyle modifications. Which of the following recommendations should the nurse include?
Correct Answer: B
Rationale: Increasing calcium and vitamin D intake supports bone density in osteoporosis. Weight-bearing exercises (
A) are beneficial, fluid restriction (
C) is irrelevant, and smoking cessation (
D) should be encouraged, not stopped.
Question 4 of 5
The nurse is caring for a client with delirium. Which of the following is most important for the nurse to provide the client?
Correct Answer: A
Rationale: Providing a safe environment is the most important aspect of caring for a client with delirium. Although all other options are logical and appropriate, meeting the client's safety needs takes priority.
Question 5 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.