NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is preparing to discharge a client with a new prescription for metoprolol (Lopressor). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Metoprolol, a beta-blocker, can cause bradycardia, so checking the pulse (holding if <60 bpm) prevents adverse effects. High-fiber meals (
A) are unrelated, stopping for dizziness (
C) requires physician consultation, and potassium (
D) is relevant for diuretics, not beta-blockers.
Extract:
Which of the following is the appropriate narcotic-analgesic ordered to provide pain relief on the patient with pancreatitis?
Question 2 of 5
Codeine 30 mgs.
Correct Answer: C
Rationale: Demerol is preferred for pancreatitis to avoid morphine's effect on the sphincter of Oddi.
Extract:
Following a CVA, a patient remains unresponsive to sensory stimulation.
Question 3 of 5
The lobe of the cerebral cortex that registers general sensations such as heat, cold, pain, and touch is the:
Correct Answer: B
Rationale: The parietal lobe processes sensory information like touch and pain.
Extract:
Question 4 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).
Question 5 of 5
The nurse is assessing a client with chronic renal failure receiving peritoneal dialysis. Which of the following findings would require an intervention by the nurse?
Correct Answer: C
Rationale: Cloudy drainage from the catheter site indicates peritonitis, a serious complication requiring immediate intervention (e.g., antibiotics, physician notification). Abdominal fullness (
A) and bruising (
D) are common during early exchanges, and constipation (
B) is managed with diet or stool softeners.