NCLEX-PN
NCLEX-PN Practice Questions PDF Questions
Extract:
Question 1 of 5
The nurse is eating for the client following a TURF. At the end of an 8-hour shift, the nurse determines that the client received 3050 mL of CBI fluid and that 4030 mL of output was emptied from the urinary drainage bag. How many milliliters (mL) should the nurse document for the client's actual urine output for the 8 hours?
Correct Answer: 980 mL.
Rationale: Subtract the amount of CBI solution from the total amount of fluid emptied from the urinary drainage device: 4030 mL - 3050 mL = 980 mL.
Question 2 of 5
A 54-year-old client who is postmenopausal reports increasing episodes of urinary leakage. Which lifestyle practice is most important for the nurse to discuss with the client?
Correct Answer: D
Rationale: A. Caffeine can increase urinary frequency, but the loss of muscle tone contributes to urinary leakage. B. A regular voiding schedule improves bladder control, but beginning with an hourly voiding schedule is unnecessary and inconvenient. C. Decreasing intake of fluids can contribute to dehydration. D. Kegel exercises improve urinary incontinence by strengthening the pelvic floor muscles that support the bladder.
Question 3 of 5
A client with a recent stroke has dysphagia. Which nursing action promotes safe swallowing?
Correct Answer: B
Rationale: An upright position at 90 degrees reduces aspiration risk in clients with dysphagia.
Question 4 of 5
A client with pneumonia is receiving IV antibiotics. Which assessment finding suggests the client is responding to treatment?
Correct Answer: A
Rationale: A decreased white blood cell count indicates the infection is resolving, showing a response to antibiotics.
Question 5 of 5
A client with a history of migraines reports an impending headache. Which nursing intervention is most appropriate?
Correct Answer: B
Rationale: A quiet, dark environment reduces stimuli that trigger or worsen migraines.