NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5 g/dl. Which of the following would the nurse anticipate?
Correct Answer: C
Rationale: The client is not absorbing nutrients adequately as evidenced by the cachexia and low protein levels. (A normal total serum protein level is 6.0-8.0 g/dl.) TPN will promote a positive nitrogen balance in this client who is unable to digest and absorb nutrients adequately.
Extract:
The nurse understands that Mr. Holland's ascites related to cirrhosis
Question 2 of 5
The nurse understands that Mr. Holland's ascites related to cirrhosis is most likely the result of:
Correct Answer: A
Rationale: Impaired portal venous return causes fluid accumulation in the peritoneal cavity, leading to ascites.
Extract:
Question 3 of 5
A young woman is transferred to a psychiatric crisis unit with a diagnosis of a dissociative disorder. The nurse knows which of the following comments by the client is MOST indicative of this disorder?
Correct Answer: B
Rationale: Dissociative disorders involve detachment from reality, such as feeling disconnected from surroundings (depersonalization/derealization), as in choice B. Nightmares (
A) suggest PTSD, fear of dying (
C) indicates panic disorder, and checking locks (
D) points to OCD.
Question 4 of 5
A nurse is caring for a client with peripheral arterial insufficiency of the lower extremities. Which intervention should be included in the plan of care to reduce leg pain?
Correct Answer: D
Rationale: Ischemic pain is relieved by placing feet in a dependent position. This position improves peripheral perfusion.
Extract:
A patient is awaiting surgery for a ruptured lumbar nucleus pulposus.
Question 5 of 5
The nurse's teaching should include that the pain will most likely increase if the patient:
Correct Answer: C
Rationale: Coughing increases intrathecal pressure, exacerbating pain from a ruptured disc.