NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
John H is a 66-year-old man with a history of heavy smoking presented himself to the ER due to difficulty breathing of 2 years duration. Mr. H was also diagnosed with effusion of the right lung. He is now scheduled for chest tube insertion.
Question 1 of 5
The nurse appropriately removes obstruction in the chest tube by which of the following?
Correct Answer: B
Rationale: Milking gently dislodges clots without causing excessive negative pressure.
Extract:
Question 2 of 5
On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:
Correct Answer: D
Rationale: The nurse manager's open, engaging, and confident behavior exemplifies assertiveness, fostering collaboration. The other behaviors involve domination, manipulation, or timidity. Coordinated Care
Question 3 of 5
The nurse is caring for a client with a history of gastroesophageal reflux disease (GERD). Which of the following lifestyle modifications should the nurse recommend?
Correct Answer: C
Rationale: Avoiding lying down for 2–3 hours after eating prevents acid reflux by allowing gastric emptying. Large meals (
A) worsen reflux, sleeping flat (
B) increases symptoms, and citrus fruits (
D) are acidic and irritating.
Extract:
Jaundiced patients are susceptible to postoperative hemorrhage because their blood does not clot normally due to the fact that:
Question 4 of 5
Jaundiced patients are susceptible to postoperative hemorrhage because their blood does not clot normally due to the fact that:
Correct Answer: D
Rationale: Lack of bile reduces vitamin K absorption, impairing prothrombin synthesis and clotting.
Extract:
Question 5 of 5
A 7-year-old boy is in the hospital with Reye's syndrome. He has been ill for two weeks with the flu. He ran high fevers and was treated with four baby aspirin alternating with 325-mg chewable Tylenol and sponge baths to control the fever. He also had a rash on his body that was itchy, and his mother used lotion and Benadryl to control the itching. Besides history of the flu, which factor in his history is associated with development of Reye's syndrome?
Correct Answer: C
Rationale: Aspirin use in children with viral infections, like the flu, is strongly linked to Reye's syndrome, a rare but serious condition affecting the liver and brain.