NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Gastrostomy tube was placed on the patient with terminal stage of throat cancer. Feeding is started today.
Question 1 of 5
Prior to initiating the first gastrostomy feeding, the nurse should perform which of the following?
Correct Answer: D
Rationale: Flushing the tube ensures patency before feeding, preventing blockages and ensuring safe administration.
Extract:
Question 2 of 5
The nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following findings would indicate a complication of TPN therapy?
Correct Answer: B
Rationale: A blood glucose level of 200 mg/dL indicates hyperglycemia, a common TPN complication due to high dextrose content, requiring insulin adjustment or rate change. Weight gain (
A) is expected, low-grade fever (
C) is nonspecific, and normal urine output (
D) is unremarkable.
Question 3 of 5
The nurse is teaching a client with chronic obstructive pulmonary disease (COPD) about energy conservation. Which of the following strategies should the nurse recommend?
Correct Answer: B
Rationale: Using a shower chair conserves energy by reducing exertion during bathing, a taxing activity for COPD patients. Morning activity (
A) may not suit all, pursed-lip breathing (
C) aids respiration, and quick walking (
D) increases oxygen demand.
Question 4 of 5
The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be most effective in removing respiratory secretions?
Correct Answer: B
Rationale: Increasing oral fluid intake to 3000 cc per day. Secretion removal is enhanced with adequate hydration, which thins and liquefies secretions.
Question 5 of 5
The nurse administered an intramuscular injection to an adult. How should the nurse dispose of the needle and syringe?
Correct Answer: A
Rationale: Immediately placing the needle and syringe in a sharps container prevents needlestick injuries. Recapping or separating risks exposure, and cutting is unsafe.