NCLEX Questions, NCLEX PN Practice Test Questions, NCLEX-PN Questions, Nurselytic

Questions 164

NCLEX-PN

NCLEX-PN Test Bank

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.

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