NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a nasogastric tube in place. Assessment of the aspirate reveals a pH of 2.0. Which is the appropriate action?
Correct Answer: A
Rationale: This finding is within normal range for gastric aspirate of 0-4. Answers B, C, and D would not be appropriate or necessary due to the normal reading, so they're incorrect.
Extract:
The patient with pancreatitis may exhibit Cullen's sign on the physical examination.
Question 2 of 5
Which of the following symptoms best describes Cullen's sign?
Correct Answer: D
Rationale: Cullen's sign is periumbilical bluish discoloration, indicating intra-abdominal bleeding.
Extract:
The first compensatory mechanism for lost blood volume in children are
Question 3 of 5
The first compensatory mechanism for lost blood volume in children are
Correct Answer: C
Rationale: Tachycardia and vasoconstriction compensate for blood loss to maintain perfusion.
Extract:
Question 4 of 5
The nurse is teaching a client with hypertension about dietary modifications. Which of the following foods should the nurse recommend the client avoid?
Correct Answer: C
Rationale: Canned soups are high in sodium, which exacerbates hypertension by increasing fluid retention and blood pressure. Fresh fruits (
A), whole grains (
B), and lean meats (
D) are low-sodium and appropriate for a hypertension diet.
Extract:
The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.
Question 5 of 5
The nurse should immediately:
Correct Answer: B
Rationale: The imbalance in intake and output, with decreasing urinary output, may indicate renal failure or fluid overload, potentially leading to congestive heart failure. Assessing breath sounds and vital signs is the first step.