NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Following major abdominal surgery, Mrs. Lafayette, was started on Morphine infusion via PCA (patient's controlled analgesia) pump.
Question 1 of 5
Priority nursing care for the patient would include:
Correct Answer: A
Rationale: Morphine sulfate is a central nervous system depressant, and respiratory depression is a serious side effect, making respiratory status the priority.
Extract:
Question 2 of 5
Iron drops were ordered for a toddler who has iron deficiency anemia. What observation of the child by the nurse indicates that the child is receiving the medication?
Correct Answer: D
Rationale: Iron supplements commonly cause black stools due to unabsorbed iron, indicating medication use. Pallor, brown spots, or dark urine are unrelated.
Question 3 of 5
While assessing a client with AIDS, the nurse notes a reddish-purple discoloration on the client's eyelid. This finding is most consistent with:
Correct Answer: D
Rationale: Kaposi's sarcoma, common in AIDS, presents as reddish-purple lesions, including on the eyelid. Other conditions affect the retina or eyelid structure differently.
Question 4 of 5
The physician has ordered an oil retention enema and a cleansing enema for a client. How should the nurse plan to carry out these orders?
Correct Answer: B
Rationale: Oil retention enemas soften hardened stool, and cleansing enemas remove it. Administering the oil retention enema first allows time for stool softening, followed by the cleansing enema to evacuate it. Mixing or reversing the order is ineffective, and spacing over days is unnecessary.
Question 5 of 5
A diet high in fiber content can help an individual to:
Correct Answer: C
Rationale: Fiber-rich foods, like grains and vegetables, bind bile acids and cholesterol in the gut, reducing serum cholesterol levels. The other options are not primary benefits of fiber. Nonpharmacological Therapies