NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
Upon examining the mouth of a 3 year-old child, the nurse discovers that the teeth have chalky white-to-yellowish staining with pitting of the enamel. Which of the following conditions would most likely explain these findings?
Correct Answer: B
Rationale: Excessive fluoride intake. The described findings are indicative of fluorosis, associated with repeated swallowing of toothpaste with fluoride or drinking water with high levels of fluoride.
Question 2 of 5
When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?
Correct Answer: D
Rationale: Unexplained vaginal bleeding is a contraindication for hormone replacement therapy due to potential underlying pathology like endometrial cancer. The other options are not absolute contraindications. Health Promotion and Maintenance
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 3 of 5
The nurse should immediately:
Correct Answer: B
Rationale: The imbalance in intake and output, with decreasing urinary output, may indicate renal failure or fluid overload, potentially leading to congestive heart failure. Assessing breath sounds and vital signs is the first step.
Extract:
Question 4 of 5
A nurse is caring for a patient with a new colostomy. Which of the following statements indicates the patient needs further teaching?
Correct Answer: B
Rationale: Saying 'I can eat whatever I want' indicates a misunderstanding, as dietary restrictions (e.g., avoiding gas-forming foods) are needed to manage colostomy output. Other statements reflect correct care.
Question 5 of 5
An adult has completed an alcohol detoxification program and will be discharged later today. Which comment indicates the best understanding of the discharge care?
Correct Answer: C
Rationale: Attending AA meetings indicates commitment to sobriety and support, essential for recovery post-detoxification.