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NCLEX PN Practice Test Questions

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Question 1 of 5

The nurse is reviewing lifestyle and nutritional strategies to help cables symptoms in a client with newly diagnosed gastroesophageal reflux disease. Which strategies should the nurse include? Select all that apply.

Correct Answer: A,D,E

Rationale: GERD management focuses on reducing esophageal irritation. Low-fat foods (
A) reduce gastric acid secretion and reflux risk. Limiting alcohol and tobacco (
D) prevents lower esophageal sphincter relaxation and mucosal irritation. Avoiding caffeine, chocolate, and peppermint (E) minimizes sphincter relaxation. Dairy (
B) is not universally contraindicated unless lactose intolerance is present. Large meals (
C) increase gastric pressure, worsening reflux.

Question 2 of 5

A 2-year old is hospitalized with gastroenteritis and dehydration. Which of the following methods is best for evaluating changes in skin turgor?

Correct Answer: A

Rationale: Pinching abdominal tissue while supine is the best method to assess skin turgor in a dehydrated child, as it reflects hydration status accurately.

Question 3 of 5

Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?

Correct Answer: B

Rationale: This response encourages the client to get in touch with their feelings and utilize problem-solving steps to reduce guilt feelings.

Question 4 of 5

Which meal should the nurse recommend for a client at 13 weeks gestation?

Correct Answer: A

Rationale: Baked chicken, greens, cookie, and juice (
A) provide balanced nutrients without high-mercury fish (
B), deli meats (
C), or undercooked liver (
D), which pose risks in pregnancy.

Question 5 of 5

A client is receiving digoxin (Lanoxin) 0.25 mg. Daily. The health care provider has written a new order to give metoprolol (Lopressor) 25 mg. B.I.D. In assessing the client prior to administering the medications, which of the following should the nurse report immediately to the health care provider?

Correct Answer: A

Rationale: Both medications decrease the heart rate. Metoprolol affects blood pressure.
Therefore, the heart rate and blood pressure must be within normal range (HR 60-100 BPM; systolic B/P over 100) in order to safely administer both medications.

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