NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is planning the assignment of tasks for the day. Which factors would the nurse remain mindful of when delegating tasks? Select all that apply.
Correct Answer: A,E
Rationale: Delegation requires matching tasks to staff competencies based on client acuity and needs, ensuring safety and efficiency. Staff requests, room clustering, and discharges are secondary considerations that do not directly impact safe delegation.
Question 2 of 5
The drug of choice to decrease uric acid levels is:
Correct Answer: B
Rationale: Allopurinol reduces uric acid production, making it the drug of choice for gout management. The other medications address inflammation, pain, or fluid balance, not uric acid directly. Physiological Adaptation
Question 3 of 5
Because of difficulties with hemodialysis, peritoneal dialysis is initiated to treat a client's uremia. Which finding signals a significant problem during this procedure?
Correct Answer: B
Rationale: An increased WBC count indicates infection, probably resulting from peritonitis, which may have been caused by insertion of the peritoneal catheter into the peritoneal cavity. Peritonitis can cause the peritoneal membrane to lose its ability to filter solutes; therefore, peritoneal dialysis would no longer be a treatment option for this client. Hyperglycemia occurs during peritoneal dialysis because of the high glucose content of the dialysate; it's readily treatable with sliding-scale insulin. A potassium level of 3.8 mEq/L is an acceptable value. An HCT of 35% is lower than normal. However, in this client, the value isn't abnormally low because of the daily blood samplings. A lower HCT is common in clients with chronic renal failure because of the lack of erythropoietin.
Question 4 of 5
The licensed practical nurse is caring for a client with congestive heart failure. The nurse should immediately report the presence of:
Correct Answer: A
Rationale: Pink, frothy sputum indicates pulmonary edema, a life-threatening complication of CHF requiring immediate reporting. Edema, shortness of breath, and weak pulses are expected but less urgent.
Question 5 of 5
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?
Correct Answer: D
Rationale:
To prevent dumping syndrome post-gastrectomy, clients should avoid large meals high in simple sugars and liquids, which can cause rapid gastric emptying. Clients should recline for 30 minutes after eating (not sit up,
A), drink fluids between meals (not avoid,
B), and reduce carbohydrate intake (not increase,
C).