NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
The maximum safe height at which the container of fluid can be held when administering an enema is:
Question 1 of 5
The maximum safe height at which the container of fluid can be held when administering an enema is:
Correct Answer: C
Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.
Extract:
Question 2 of 5
A nurse is teaching a patient about a low-sodium diet. Which of the following foods should the patient avoid?
Correct Answer: B
Rationale: Canned soups are high in sodium, worsening conditions like hypertension or heart failure. Fresh fruits, whole grains, and lean meats are low-sodium and appropriate for the diet.
Extract:
An elderly patient in the long-term facility expresses feeling lonely especially during the day.
Question 3 of 5
The staff nurse who is assigned to the patient will appropriately do which of the following?
Correct Answer: C
Rationale: Group activities foster social interaction, reducing loneliness.
Extract:
Question 4 of 5
An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:
Correct Answer: B
Rationale:
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.
Extract:
The maximum safe height at which the container of fluid can be held when administering an enema is:
Question 5 of 5
The maximum safe height at which the container of fluid can be held when administering an enema is:
Correct Answer: C
Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.