NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a right below-the-knee amputation three days ago. The client complains of pain in the right foot and asks for pain medication. What nursing action is appropriate initially?
Correct Answer: C
Rationale: Phantom limb pain, common post-amputation, is real pain; administering ordered pain medication addresses it effectively. Elevation, placebos, or discussion are less appropriate initially.
Question 2 of 5
Which safety device is most restrictive for a client with dementia?
Correct Answer: D
Rationale: The goal of care for clients with dementia is to maintain the highest level of functioning. When restraints must be used, the least restrictive type of restraint possible should be used. A lap tray over a wheelchair severely limits the client's mobility and can cause injury if the client tries to get out of the wheelchair. A walker can be very helpful to clients with dementia as they commonly have unsteady gaits. Childproof locks are helpful in preventing accidental contact with harmful substances. An electronic monitoring system is an effective way of managing a client who wanders.
Question 3 of 5
An adult is scheduled for surgery today and has signed an operative permit. As the nurse is about to administer the client's preoperative medication, the client says that she has changed her mind and no longer wishes to have the surgery. How should the nurse respond?
Correct Answer: C
Rationale: The client has the right to withdraw consent. Notifying the physician allows discussion and respects autonomy. Signed consents are not binding, medication should be withheld, and reassurance dismisses concerns.
Question 4 of 5
The nurse is caring for a client with active tuberculosis who has a history of noncompliance. Which of the following actions by the nurse would represent appropriate care for this client?
Correct Answer: B
Rationale: Ask a family member to supervise daily compliance. Direct-observed therapy (DOT) is a recognized method for ensuring client compliance to the drug regimen. A program can be set up to directly observe the client taking the medication in the clinic, home, workplace or other convenient location.
Question 5 of 5
The home health care nurse is caring for a 30-year-old woman with type I diabetes mellitus. The client has been maintained on a regimen of NPH and regular insulin and a 1,800-calorie diabetic diet with normal blood sugar levels. Morning self-monitoring blood sugar (SMBG) readings the past two days were 205 mg/dL and 233 mg/dL. The nurse expects the physician to
Correct Answer: B
Rationale: Elevated morning blood sugar levels (205 and 233 mg/dL) suggest the dawn phenomenon, where early morning hyperglycemia occurs due to hormonal changes. Adjusting the evening NPH insulin dose (e.g., adding 3 units at 10 PM) helps control this. Reducing the diet (
A) is unnecessary, regular insulin (
C) peaks too early, and eliminating the snack (
D) may worsen control.