NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for a client who underwent a mastectomy 24 hours ago. Which of the following interventions should the nurse prioritize?
Correct Answer: A
Rationale: Encouraging arm exercises prevents lymphedema and restores mobility post-mastectomy. Dependent positioning (
B) increases edema, heating pads (
C) risk tissue damage, and fluid restriction (
D) is unnecessary and harmful.
Extract:
Which of the following is the most important physical assessment parameter the nurse would consider when assessing fluid and electrolyte balance?
Question 2 of 5
Skin turgor
Correct Answer: B
Rationale: Intake and output provide the most direct measure of fluid balance.
Extract:
Kussmaul breathing:
Question 3 of 5
Kussmaul breathing:
Correct Answer: D
Rationale: Kussmaul breathing is a rapid, deep pattern compensating for metabolic acidosis.
Extract:
Question 4 of 5
Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?
Correct Answer: C
Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.
Question 5 of 5
An adult is on long-term aspirin therapy and complains of tinnitus. Which interpretation by the nurse is accurate?
Correct Answer: D
Rationale: Tinnitus is a sign of aspirin toxicity (salicylism), indicating a minor overdose. It's not an expected effect, and GI bleed would present with other symptoms like melena.