NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Which of the following clinical conditions exacerbates electrolyte excretion?
Question 1 of 5
Nasogastric feedings
Correct Answer: B
Rationale: Surgical drains remove fluid and electrolytes, exacerbating excretion.
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 2 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:
Question 3 of 5
Which clinical finding would the nurse expect to assess first in a newborn with spastic cerebral palsy?
Correct Answer: D
Rationale: Cerebral palsy is a neuromuscular impairment resulting in muscular and reflexive hypertonicity and the criss-crossing, or scissoring leg movements.
Question 4 of 5
While repositioning a comatose client, the nurse senses a tingling sensation as she lowers the bed. What action should she take?
Correct Answer: A
Rationale: Shutting off the bed's electricity should be the initial step. The nurse should not touch the client until the bed is checked for faulty grounding.
Question 5 of 5
A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?
Correct Answer: D
Rationale: Morphine can cause sphincter of Oddi spasm, worsening pancreatitis pain, and should be questioned. Meperidine is preferred, and Mylanta/cimetidine are appropriate for symptom management.