NCLEX-PN
NCLEX PN Practice Test Questions
Extract:
Question 1 of 5
Prior to administering a tube feeding, the nurse obtains 50 mL of aspirant. The nurse should:
Correct Answer: B
Rationale: Replacing the aspirant prevents fluid/electrolyte loss, and feeding can proceed if pH confirms placement. Discarding aspirant risks dehydration, and holding the feeding is unnecessary unless placement is uncertain.
Question 2 of 5
A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. The most important reason for the nurse to elevate the casted leg is to
Correct Answer: D
Rationale: Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as well.
Question 3 of 5
The nurse reinforces teaching about self-management strategies for a client with urge incontinence. Which of the following statements indicate that teaching has been effective? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Weight loss (
A) reduces bladder pressure, oxybutynin’s dry mouth side effect (
B) is correct, Kegel exercises (
D) strengthen pelvic floor muscles, and scheduled voiding (E) prevents urgency. Caffeine (
C) irritates the bladder, worsening incontinence, indicating ineffective teaching.
Question 4 of 5
The hospice nurse is providing end-of-life care to a client who is experiencing anorexia and cachexia. Which interventions are appropriate? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Allowing food refusal (
A) respects autonomy, assessing pain/nausea (
B) addresses barriers to eating, shared mealtimes (
D) provide comfort, and oral care (E) improves appetite. Meal planning (
C) may overwhelm a cachectic client.
Extract:
Laboratory reference ranges
Glucose (random)
71-200 mg/dL
(3.9-11.1 mmol/L)
Question 5 of 5
A category 4 hurricane has affected a rural, local health care system, creating a significant increase in emergency department admissions. Which of the following clients should the nurse anticipate as the priority for intervention?
Correct Answer: A
Rationale: Status asthmaticus with 80% pulse oximetry (
A) indicates severe hypoxia, requiring immediate intervention to prevent respiratory failure. Headache post-collision (
B) and nausea in pregnancy (
C) are less acute, as they do not indicate immediate life-threatening conditions.