NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
The patient weighed 210 pounds on admission to the hospital. After 2 days of diuretic therapy the patient weighs 205.5 pounds.
Question 1 of 5
The nurse could estimate that the amount of fluid the patients has lost is:
Correct Answer: C
Rationale: 1 pound equals approximately 0.5 L; a 4.5-pound loss equates to about 2 L of fluid.
Extract:
Question 2 of 5
A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, 'I need this surgery because nothing else I have done has helped me to lose weight.' Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: Respecting the client's informed decision for surgery demonstrates empathy and professionalism. The other responses are judgmental or dismissive of her situation. Physiological Adaptation
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 3 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 4 of 5
A nurse is caring for a patient with acute pancreatitis. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: Pain management is the priority in acute pancreatitis to reduce patient distress and pancreatic stimulation. NG tubes, fluids, and ambulation follow based on orders and condition.
Question 5 of 5
The nurse notes an abrupt onset of confusion in an elderly patient. Which of the following recently-ordered medications would most likely contribute to this change?
Correct Answer: C
Rationale: Antihistamine. Elderly people are susceptible to the side effect of anticholinergic drugs, such as antihistamines. Antihistamines often cause confusion in the elderly, especially at high doses.