NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
The physician has ordered thiamine 100 mg IM for a client with chronic alcoholism. The primary reason for giving thiamine is:
Correct Answer: C
Rationale: Thiamine is given to treat or prevent neurological symptoms, such as Wernicke's encephalopathy, caused by thiamine deficiency in chronic alcoholism.
Question 2 of 5
Which of these principles should the nurse apply when performing a nutritional assessment on a 2 year-old client?
Correct Answer: C
Rationale: A serving size at this age is about 2 tablespoons. A general guide is 1 tablespoon of solid food per year of age.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of osteoporosis about lifestyle modifications. Which of the following recommendations should the nurse include?
Correct Answer: B
Rationale: Increasing calcium and vitamin D intake supports bone density in osteoporosis. Weight-bearing exercises (
A) are beneficial, fluid restriction (
C) is irrelevant, and smoking cessation (
D) should be encouraged, not stopped.
Question 4 of 5
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?
Correct Answer: D
Rationale:
To prevent dumping syndrome post-gastrectomy, clients should avoid large meals high in simple sugars and liquids, which can cause rapid gastric emptying. Clients should recline for 30 minutes after eating (not sit up,
A), drink fluids between meals (not avoid,
B), and reduce carbohydrate intake (not increase,
C).
Question 5 of 5
After sustaining a closed head injury and numerous lacerations and abrasions to the face and neck, a five-year-old child is admitted to the emergency room. The client is unconscious and has minimal response to noxious stimuli. Which of the following assessments, if observed by the nurse three hours after admission, should be reported to the physician?
Correct Answer: B
Rationale: Clear fluid draining from the ear suggests cerebrospinal fluid (CSF) leakage, indicating a rupture of the meninges, which poses a risk of meningitis or other complications in a head injury. This must be reported immediately. Eyelid edema (
A) and minor bleeding (
C) are less urgent, and withdrawal to pain (
D) is consistent with the initial assessment.