NCLEX-PN
NCLEX Practice Questions PN Questions
Extract:
Question 1 of 5
The client with COPD may lose weight despite having adequate caloric intake. When counseling the client in ways to maintain an optimal weight, the nurse should tell the client to:
Correct Answer: D
Rationale: Clients with COPD often have increased metabolic demands and may lose weight.
To maintain optimal weight, they should increase overall caloric intake, including protein, fat, vitamins, and minerals, while possibly decreasing complex carbohydrates to balance the diet. Answer A is incorrect as decreasing activity is not beneficial. Answer B may not be feasible due to respiratory limitations. Answer C does not address the need for increased calories and nutrients.
Question 2 of 5
The nurse is making assignments for the day's care. Which assignment should not be given to the nursing assistant?
Correct Answer: B
Rationale: Administering an enema requires nursing judgment and is outside a nursing assistant's scope. Other tasks are appropriate for a nursing assistant.
Question 3 of 5
The nurse is preparing to obtain a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter that was inserted 2 days ago. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Using a sterile syringe at the specimen port (
A) ensures a clean sample. Balloon port (
B), drainage bag (
C), or 24-hour collection (
D) risk contamination.
Question 4 of 5
While planning care for a 2 year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior?
Correct Answer: B
Rationale: Separation from parents. Separation anxiety is the greatest stress for a toddler during hospitalization.
Question 5 of 5
The nurse performs an assessment during a fluid exchange for the client who is 48 hours post-insertion of an abdominal Tenckhoff catheter for peritoneal dialysis. The nurse knows that the appearance of which of the following needs to be reported to the provider immediately?
Correct Answer: D
Rationale: Cloudy drainage is a sign of infection that can lead to peritonitis (inflammation of the peritoneum). The other options are expected side effects of peritoneal dialysis.