NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Question 1 of 5
To best promote continued improvement in a patient's respiratory status after chest drainage is discontinued, the nurse should:
Correct Answer: B
Rationale: Coughing and deep breathing promote lung expansion and secretion clearance post-chest drainage.
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 is receiving nitroglycerin ointment (Nitrol) to treat angina pectoris. The nurse evaluates the therapeutic effectiveness of this drug by assessing the client's response and checking for adverse effects. Which vital sign is most likely to reflect an adverse effect of nitroglycerin?
Correct Answer: C
Rationale: Hypotension and headache are the most common adverse effects of nitroglycerin.
Therefore, blood pressure is the vital sign most likely to reflect an adverse effect of this drug. The nurse should check the client's blood pressure 1 hour after administering nitroglycerin ointment. A blood pressure decrease of 10 mm Hg is within the therapeutic range. If blood pressure falls more than 20 mm Hg below baseline, the nurse should remove the ointment and report the finding to the physician immediately. An above-normal heart rate (tachycardia) is a less common adverse effect of nitroglycerin. Respiratory rate and temperature don't change significantly after nitroglycerin administration.
Extract:
The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:
Question 4 of 5
The nurse might expect a patient with multiple sclerosis to complain about the most common initial symptom which is:
Correct Answer: D
Rationale: Visual disturbances, such as optic neuritis, are a common initial symptom of multiple sclerosis.
Extract:
Question 5 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).