NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a cholecystectomy 24 hours ago. The client reports nausea and has not had a bowel movement since surgery. The nurse should
Correct Answer: A
Rationale: Nausea post-cholecystectomy may be due to anesthesia or pain medication, and an ordered antiemetic addresses this symptom promptly. Ambulation (
B) and high-fiber diet (
C) promote bowel movement but don’t address nausea, and notification (
D) is unnecessary unless symptoms persist or worsen.
Question 2 of 5
A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?
Correct Answer: B
Rationale: Respect for differences is demonstrated by incorporating traditional cultural practices for staying healthy into professional prescriptions and interventions. The challenge for the health care provider is to understand the client's perspective. 'Culture care preservation or maintenance refers to those assistive, supporting, facilitative or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values to that they can maintain their well-being, recover from illness or face handicaps and/or death.'
Extract:
Which of the following patients should you take care of first?
Question 3 of 5
A patient who is incontinent and needs to be changed.
Correct Answer: B
Rationale: Suctioning addresses airway clearance, a priority over incontinence, dressing changes, or pain management.
Extract:
Question 4 of 5
Three days after a cast is applied to a fracture of the right lower leg the client begins to complain of pain beneath the cast. The nurse should give priority to:
Correct Answer: D
Rationale: Pain beneath a cast may indicate complications like compartment syndrome, requiring immediate physician notification. Elevation or medication may help but are secondary. Pain is not normal .
Question 5 of 5
The nurse is preparing to discharge a client with a new prescription for metoprolol (Lopressor). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Metoprolol, a beta-blocker, can cause bradycardia, so checking the pulse (holding if <60 bpm) prevents adverse effects. High-fiber meals (
A) are unrelated, stopping for dizziness (
C) requires physician consultation, and potassium (
D) is relevant for diuretics, not beta-blockers.