NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The CVP reading of a client with partial thickness burns is 6 mm H2O. The nurse recognizes that the client:
Correct Answer: B
Rationale: A central venous pressure (CVP) reading of 6 mm H2O is within the normal range (2-8 mm H2O), indicating adequate fluid status. Answer A is incorrect because the client does not need additional fluids. Answer C is incorrect because a CVP of 6 does not suggest congestive failure. Answer D is incorrect because a diuretic is not indicated with a normal CVP.
Question 2 of 5
The multidisciplinary team decides to implement behavior modification with a client. Which of the following nursing actions is of primary importance during this time?
Correct Answer: A
Rationale:
To implement a behavior modification plan successfully, all staff members need to be included in program development, and time must be allowed for discussion of concerns from each nursing staff member; consistency and follow-through is important to prevent or diminish the level of manipulation by the staff or client during implementation of this program. Ensuring staff compliance promotes a unified approach, which is critical for the plan’s effectiveness.
Question 3 of 5
An adult has completed an alcohol detoxification program and will be discharged later today. Which comment indicates the best understanding of the discharge care?
Correct Answer: C
Rationale: Attending AA meetings indicates commitment to sobriety and support, essential for recovery post-detoxification.
Extract:
Francis' serum K+ level is 3.8 mEq/L. Potassium chloride 40 mEq has been prescribed to be added to the first liter of IV fluid.
Question 4 of 5
The nurse should
Correct Answer: C
Rationale: Ketoacidosis means high blood glucose. Insulin is expected to be administered to lower the blood glucose level. Insulin transports potassium back to the cell, so potassium IV is usually given prophylactically with insulin.
Extract:
Question 5 of 5
The nurse is assessing a client with suspected dehydration. Which of the following findings would support this diagnosis?
Correct Answer: B
Rationale: Dehydration causes tachycardia and hypotension due to reduced blood volume. Moist mucous membranes (
A) and clear urine (
C) indicate hydration, and weight gain (
C) suggests fluid retention, not dehydration.