NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
The nurse understands that Mr. Holland's ascites related to cirrhosis
Question 1 of 5
The nurse understands that Mr. Holland's ascites related to cirrhosis is most likely the result of:
Correct Answer: A
Rationale: Impaired portal venous return causes fluid accumulation in the peritoneal cavity, leading to ascites.
Extract:
The best indication that a patient with diabetes mellitus is successfully managing the disease after discharge is a
Question 2 of 5
significant loss of body weight.
Correct Answer: B
Rationale: A combination of diet, exercise, and medication is necessary to control the disease; the interaction of these therapies is reflected by well-controlled serum glucose.
Extract:
Question 3 of 5
Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?
Correct Answer: B
Rationale: Promoting healthy nutritional practices is a proactive goal to prevent nutritional issues. The other options are either interventions or specific outcomes not universally applicable. Basic Care and Comfort
Question 4 of 5
The nurse observes a certified nursing assistant (CNA) placing a hot water bottle directly on the skin of a 90-year-old client. What action should the nurse take initially?
Correct Answer: B
Rationale: Direct placement of a hot water bottle on the skin risks burns, especially in an elderly client with fragile skin. Interrupting the procedure immediately prevents harm. Reporting, discussing later, or notifying the physician are secondary to stopping the unsafe action.
Question 5 of 5
The nurse is preparing to administer a dose of digoxin (Lanoxin) to a client with heart failure. The client’s apical pulse is 56 beats per minute. The nurse should
Correct Answer: B
Rationale: Digoxin can cause bradycardia, and a pulse below 60 bpm warrants holding the dose and notifying the physician to prevent toxicity. Administering (
A) or reducing (
C) is unsafe, and rechecking (
D) delays intervention.