NCLEX-PN
NCLEX PN Practice Questions Questions
Extract:
Question 1 of 5
The nurse is reviewing recommended dietary modifications with a client with celiac disease. Which of the following menu selections by the client would indicate a correct understanding of the teaching? Select all that apply.
Correct Answer: B,C,E
Rationale: Corn tortillas, grilled chicken with potato/yogurt, and rice noodles are gluten-free, suitable for celiac disease. Barley and wheat contain gluten.
Question 2 of 5
The nurse is talking with a client whose spouse recently attempted suicide. The client states, 'If I had not intervened, my spouse would have died. I cannot believe this is happening.' Which of the following responses would be most appropriate for the nurse to make?
Correct Answer: B
Rationale: Acknowledging the client's feelings and encouraging expression provides emotional support.
Question 3 of 5
The client is unable to adequately bathe himself because he has dressings on his hands that cannot get wet. What is the most appropriate nursing diagnosis for this assessment finding?
Correct Answer: D
Rationale: Inability to bathe due to hand dressings indicates a self-care deficit in bathing, the most specific nursing diagnosis.
Extract:
Intake and output record
Emesis 120 mL
Wet diaper 1 50 g
Wet diaper 2 52 g
Wet diaper 3 46 g
*Weight of a dry diaper = 30 g
Intake and output record
Question 4 of 5
The nurse is calculating a client's intake and output for the shift. How many mL should the nurse record as the client's output?
Correct Answer: 208
Rationale: Emesis (120 mL) plus diaper output (50-30=20 mL, 52-30=22 mL, 46-30=16 mL) totals 120+20+22+16=208 mL.
Extract:
Question 5 of 5
During a situation of pain management, which statement is a priority to consider for the ethical guidelines of the nurse?
Correct Answer: A
Rationale: The client's self-report is the most important consideration. Pain is a complex phenomenon that is perceived differently by each individual. Pain is whatever the client says it is. The other statements are correct but not the most important considerations.