NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who underwent a lumbar laminectomy 24 hours ago. Which of the following interventions is MOST important?
Correct Answer: D
Rationale: Urinary retention is a common complication post-laminectomy due to spinal anesthesia or nerve irritation, requiring close monitoring to prevent bladder distension. Ambulation (
A) and analgesics (
C) are important, and flat positioning (
B) is recommended but secondary to bladder assessment.
Extract:
The maximum safe height at which the container of fluid can be held when administering an enema is:
Question 2 of 5
The maximum safe height at which the container of fluid can be held when administering an enema is:
Correct Answer: C
Rationale: 45 cm (18 inches) ensures safe pressure to avoid bowel injury during an enema.
Extract:
Question 3 of 5
The nurse is assessing the client's vital signs and notes that the client is breathing very noisily. The nurse describes this pattern of breathing as:
Correct Answer: D
Rationale: Stertorous breathing is loud, snoring-like, often due to airway obstruction. Hyperpnea is deep breathing, Cheyne-Stokes is cyclic, and orthopnea is positional dyspnea.
Extract:
Which of the following is the appropriate narcotic-analgesic ordered to provide pain relief on the patient with pancreatitis?
Question 4 of 5
Codeine 30 mgs.
Correct Answer: C
Rationale: Demerol is preferred for pancreatitis to avoid morphine's effect on the sphincter of Oddi.
Extract:
Which of the following patients should you take care of first?
Question 5 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.