NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
When giving health and safety hazards on a mother with a 3-month-old infant, the nurse should emphasize that
Question 1 of 5
tiny objects must be removed from crib.
Correct Answer: A
Rationale: By 4 months of age, infants pick up anything within reach and put it in their mouth, making tiny objects in the crib a choking hazard.
Extract:
Question 2 of 5
The nurse is teaching a client with a new diagnosis of hypertension about medication adherence. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: B
Rationale: Stopping antihypertensive medication when blood pressure normalizes risks rebound hypertension, indicating a need for further teaching. Daily timing (
A), reporting side effects (
C), and continued use (
D) reflect proper understanding.
Extract:
Ms. Wilson was admitted in the hospital for subtotal thyroidectomy. Two days prior to surgery she complains to the nurse and states, 'It looks like that she is coming down with flu.'
Question 3 of 5
An appropriate nursing action is:
Correct Answer: A
Rationale: Lugol's solution is given a few days before thyroidectomy to decrease the vascularity of the thyroid glands. Should the patient develop an infection, thyroidectomy will be canceled, so the Lugol's solution should not be given.
Extract:
Question 4 of 5
The nurse must irrigate a gaping abdominal incision with sterile normal saline, using a piston syringe. How should the nurse proceed?
Correct Answer: A
Rationale:
To wash away tissue debris and drainage effectively, the nurse should irrigate the wound until the solution becomes clear or all of the solution has been used. After the irrigation, the nurse should dry the area around the wound; moistening it promotes microorganism growth and skin irritation. When the area is dry, the nurse should apply a sterile dressing, rather than a wet-to-dry dressing. The nurse always should instill the irrigating solution gently; rapid or forceful instillation can damage tissues.
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 5 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.