NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
The nurse is providing dietary instructions to a client with oxalate renal calculi. The nurse should tell the client to avoid which of the following snacks:
Correct Answer: A
Rationale: Clients with oxalate renal calculi should avoid foods high in oxalate, such as strawberries. Answers B, C, and D (cheese, chicken nuggets, and banana) are not high in oxalate and are generally safe for clients with this condition.
Question 2 of 5
A nurse is caring for a patient with obsessive-compulsive disorder (OCD). Which of the following interventions is most appropriate?
Correct Answer: C
Rationale: Setting time limits on rituals balances reducing OCD behaviors with minimizing anxiety, supporting therapy goals. Preventing or encouraging rituals exacerbates symptoms, and ignoring dismisses treatment needs.
Question 3 of 5
A nurse is teaching a patient about the use of an incentive spirometer. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Inhaling slowly and deeply maximizes lung expansion, preventing atelectasis. Exhaling forcefully is incorrect, use is routine, and holding breath is secondary.
Question 4 of 5
An elderly client has returned to her room following internal fixation of a fractured hip. To prevent dislocation of the hip prosthesis, the nurse should:
Correct Answer: D
Rationale: Maintaining the hip in an abducted position prevents dislocation of the prosthesis. Adduction or lying on the affected side increases dislocation risk. Supine is neutral but less specific.
Question 5 of 5
A case management clinical pathway for congestive heart failure might include all of the following except:
Correct Answer: D
Rationale: Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through a health care system. Insurance review for reimbursement is a function of an outside agency from the health care provider.