NCLEX-PN
Free PN NCLEX Practice Questions Questions
Extract:
Question 1 of 5
The output from a client's indwelling catheter is 500 mL for the past 10 hours. The nurse should:
Correct Answer: A
Rationale: Urine output of 500 mL in 10 hours (50 mL/hour) is within normal limits (30-50 mL/hour). No intervention is needed.
Question 2 of 5
A client with a history of Addison's disease and flulike symptoms accompanied by nausea and vomiting over the past week is brought to the facility. The client's wife reports that she noticed that he acted confused and was extremely weak when he woke up in the morning. The client's blood pressure is 90/58 mm Hg, his pulse is 116 beats/minute, and his temperature is 101°F (38.3°C). A diagnosis of acute adrenal insufficiency is made. Which of the following would the nurse expect to administer by I.V. infusion?
Correct Answer: B
Rationale: Emergency treatment for acute adrenal insufficiency (addisonian crisis) is I.V. infusion of hydrocortisone and saline solution. The client is usually given 100 mg of hydrocortisone in normal saline every 6 hours until his blood pressure returns to normal. Insulin isn't indicated in this situation because adrenal insufficiency is usually associated with hypoglycemia. Potassium isn't indicated because these clients are usually hyperkalemic. The client needs normal - not hypotonic - saline solution.
Extract:
A new mother has some questions about PKU.
Question 3 of 5
Which of the following statements made by the nurse is correct regarding PKU?
Correct Answer: B
Rationale: The PKU test is performed shortly after birth to detect phenylalanine levels.
Extract:
Question 4 of 5
The nurse is caring for a client with a history of diverticulitis. Which of the following dietary recommendations should the nurse provide to prevent flare-ups?
Correct Answer: C
Rationale: A high-fiber diet promotes regular bowel movements and reduces pressure in the colon, preventing diverticulitis flare-ups. Nuts and seeds (
A) may irritate diverticula, a low-fiber diet (
B) worsens symptoms, and dairy restriction (
D) is unnecessary unless lactose intolerant.
Extract:
Thrombus formation is a danger for all post operative patients. The nurse should act independently to prevent this complication by:
Question 5 of 5
The nurse should act independently to prevent this complication by:
Correct Answer: C
Rationale: In-bed exercises promote venous return, reducing the risk of thrombus formation.