NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 1 of 5
In the context of Mr. H's chest tubes, part of his routine assessment include:
Correct Answer: B
Rationale: Palpating for crepitus detects subcutaneous emphysema, a potential complication.
Question 2 of 5
What is most likely occurring when persistent bubbling exist in the water seal chamber of a chest drainage device?
Correct Answer: D
Rationale: Persistent bubbling indicates an air leak, either in the system or from the lung.
Extract:
The maximum safe height at which the container of fluid can be held when administering an enema is:
Question 3 of 5
The maximum safe height at which the container of fluid can be held when administering an enema is:
Correct Answer: C
Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.
Extract:
Question 4 of 5
A patient is prescribed 1,000 mL of IV fluid to be infused over 8 hours. The IV tubing has a drop factor of 15 drops per mL. What is the flow rate in drops per minute?
Correct Answer: C
Rationale: 1,000 mL ÷ 8 hours = 125 mL/h. (125 mL/h ÷ 60 min) × 15 gtt/mL = 31.25 gtt/min, rounded to 31 gtt/min. Other options are incorrect.
Question 5 of 5
A client asks the nurse about the rhythm (calendar-basal body temperature) method of family planning. The nurse explains that this method involves:
Correct Answer: D
Rationale: The rhythm method of family planning combines basal body temperature measurement with analysis of cervical mucus changes to determine the fertile period. This method helps identify safe and unsafe periods for sexual intercourse. A natural family planning method, the rhythm method doesn't involve use of chemical barriers, hormones, or mechanical barriers.