NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.
Question 1 of 5
The nurse should immediately:
Correct Answer: B
Rationale: Low urine output suggests renal or fluid issues, requiring vital signs and breath sound assessment.
Extract:
Question 2 of 5
A corporate executive works 60-80 hours a week. The client is experiencing some physical signs of stress. The nurse teaches the client biofeedback techniques. This is an example of which of the following health-promotion interventions?
Correct Answer: B
Rationale: Biofeedback is a relaxation technique that helps manage stress by teaching control over physiological responses. It is not structure, time management, or exercise. Psychosocial Integrity
Question 3 of 5
A client has developed thrombophlebitis of the left leg. Which nursing intervention should be given the highest priority?
Correct Answer: A
Rationale: Elevate the leg on 2 pillows. The first goal of nonpharmacologic interventions is to minimize edema of the affected extremity by leg elevation.
Question 4 of 5
The nurse is caring for a client who underwent a total hip replacement 48 hours ago. Which of the following actions is MOST important to prevent complications?
Correct Answer: B
Rationale: Keeping the affected leg in a neutral position (e.g., avoiding adduction or extreme rotation) prevents hip dislocation, a major complication post-hip replacement. Ambulation (
A) is important but secondary, antibiotics (
C) depend on orders, and monitoring infection (
D) is routine.
Question 5 of 5
A nurse is delegating tasks to a nursing assistant. Which of the following tasks is appropriate to delegate?
Correct Answer: C
Rationale: Assisting with ambulation is within a nursing assistant’s scope, promoting safety and mobility. Medication administration, sterile procedures, and care planning require licensed nurse skills.