NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.
Correct Answer: A,C
Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.
Question 2 of 5
The mother of a 3-year-old has been told that her child has a brain tumor. She initially begins to cry and accuses the physicians of lying. Which of the following stages is the mother most likely experiencing?
Correct Answer: C
Rationale: Anger is the stage of grief in which a person expresses anger about the diagnosis or situation. Acceptance occurs when the person comes to terms with the diagnosis. This situation isn't an example of a psychotic episode; it's a normal stage of the grieving process. Denial is the stage of grief when a person refuses to believe the truth.
Question 3 of 5
The nurse is caring for a client with a history of heart failure who is receiving furosemide (Lasix). Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, increasing the risk of arrhythmias in heart failure patients, so serum potassium must be monitored closely. Glucose (
B), cholesterol (
C), and hemoglobin (
D) are not directly affected by furosemide.
Question 4 of 5
A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is experiencing anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. What would the nurse's best response to this request?
Correct Answer: C
Rationale: Children with AGN who have edema, hypertension oliguria and azotemia may have dietary restrictions limiting sodium, fluids, protein and potassium. Giving the child a short explanation and offering to talk about an alternative is appropriate for this age.
Extract:
A 55-year-old male patient was admitted with a diagnosis of BPH (benign prostatic hypertrophy).
Question 5 of 5
Which of the following herbal medications, when asked by the patient, is appropriate alternative treatment?
Correct Answer: C
Rationale: Saw palmetto is commonly used to alleviate BPH symptoms by reducing prostate inflammation.