NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
A 30-year-old pregnant mother, in her third trimester, asks the community nurse what position is best for her to prevent heartburn.
Question 1 of 5
The nurse correctly recommends the
Correct Answer: D
Rationale: Elevating the head of the bed post-meals prevents reflux, reducing heartburn.
Extract:
Question 2 of 5
The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Stopping antihypertensive medication when blood pressure normalizes risks rebound hypertension, indicating a need for further teaching. Daily timing (
A), reporting side effects (
C), and continued use (
D) reflect proper understanding.
Question 3 of 5
An adult woman has obsessive-compulsive disorder. She continually washes her hands and misses meals because she has not completed her washing rituals. What should be in the nursing care plan for this woman?
Correct Answer: B
Rationale: Bringing meals accommodates the client's OCD rituals while ensuring nutrition, a practical approach. Interrupting, planning around rituals, or forcing choices may escalate anxiety or non-compliance.
Question 4 of 5
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?
Correct Answer: B
Rationale: An increased WBC count indicates infection, probably resulting from peritonitis, which may have been caused by insertion of the peritoneal catheter into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in this client, the value isn't abnormally low because of the daily blood samplings. A lower HCT is common in clients with chronic renal failure because of the lack of erythropoietin.
Question 5 of 5
Convert 8 pounds, 8 ounces to an equivalent amount in kilograms.
Correct Answer: B
Rationale: 8 pounds + 8 ounces (0.5 pounds) = 8.5 pounds. 8.5 ÷ 2.2 pounds/kg = 3.8636 kg, rounded to 3.86 kg. Other options are incorrect.