NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:
Question 1 of 5
The nurse assesses the patient with cholecystitis for the development of obstructive jaundice, which would be evidenced by:
Correct Answer: C
Rationale: Obstructive jaundice causes dark urine, clay-colored stools, and itchy skin due to bilirubin buildup.
Extract:
Liang Tam, 68 years old, was admitted to the hospital with GI bleeding. She arrived to USA from China, as landed immigrant, 3 months ago. Chin speaks Mandarin and little English. Her daughter, Linda Min, speaks fluent English.
Question 2 of 5
To whom will the registered nurse, during the admission interview, collects the information from?
Correct Answer: B
Rationale: An interpreter ensures accurate communication with the patient, respecting her autonomy.
Extract:
Ms. Wilson is a 45-year-old female presents to the clinic with unexplained weight loss, anxiety, heat intolerance and palpitations. Exams reveal mild systolic hypertension, exophthalmos, lid lag, non-pitting leg edema, and a diffusely enlarged painless thyroid gland. Lab results showed depressed TSH and borderline T3 and T4. Hyperthyroidism was confirmed.
Question 3 of 5
As a result of low levels of T3 and T4, the nurse should expect Ms. Wilson to exhibit:
Correct Answer: C
Rationale: Decreased production of thyroid hormones lowers metabolism, which leads to intolerance to cold. However, the question seems to misalign with the hyperthyroidism diagnosis; in hyperthyroidism, T3 and T4 are elevated, but the answer choices suggest hypothyroidism. Given the options, cold intolerance is the correct choice for low T3/T4.
Extract:
Question 4 of 5
Which nursing action is essential when providing continuous enteral feeding?
Correct Answer: A
Rationale: Elevating the head of the bed at least 30 degrees during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on the right side. The nurse should give enteral feedings at room temperature to minimize GI distress.
To limit microbial growth, the nurse should hang only the amount of formula that can be infused in 8 hours.
Question 5 of 5
The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?
Correct Answer: B
Rationale: The best time for a breast self-exam (BSE) is a week after a menstrual cycle, when the breasts are no longer swollen and tender due to hormone elevation.