NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
The nurse is supervising the staff providing care for an 18-month-old hospitalized with hepatitis A. The nurse determines that the staff's care is appropriate if which of the following is observed?
Correct Answer: A
Rationale: Hepatitis A requires contact precautions for diapered patients due to fecal-oral transmission, necessitating a private room. Removing toys (
B) risks spreading contamination, a high-fat diet (
C) is inappropriate, and standard precautions alone (
D) are insufficient.
Question 2 of 5
The physician has ordered an oil retention enema and a cleansing enema for a client. How should the nurse plan to carry out these orders?
Correct Answer: B
Rationale: Oil retention enemas soften hardened stool, and cleansing enemas remove it. Administering the oil retention enema first allows time for stool softening, followed by the cleansing enema to evacuate it. Mixing or reversing the order is ineffective, and spacing over days is unnecessary.
Question 3 of 5
A client is scheduled for surgery under general anesthesia. The night before surgery, the client tells the nurse, 'I can't wait to have breakfast tomorrow.' Based on this statement, the nurse should formulate which nursing diagnosis?
Correct Answer: A
Rationale: The client's statement reveals a Deficient knowledge related to food restrictions associated with general anesthesia. The other options may be applicable but aren't related to the client's statement.
Extract:
Fluid shift occurs immediately following the onset of burn.
Question 4 of 5
Nursing assessment indicating fluid shift include:
Correct Answer: B
Rationale: Delayed capillary refill is evident due to lack of volume and oxygen, indicating fluid shift post-burn.
Extract:
When monitoring a patient who is receiving a blood transfusion
Question 5 of 5
The nurse would analyze an elevated body temperature as indicating
Correct Answer: C
Rationale: Fever during transfusion may indicate a reaction, requiring immediate evaluation.