NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
One of the following is not a symptom of the patient with right sided heart failure:
Question 1 of 5
Weight gain
Correct Answer: C
Rationale: Right-sided heart failure causes jugular vein distension, not flattened neck veins.
Extract:
Question 2 of 5
The nurse is caring for a client who had a right below-the-knee amputation three days ago. The client complains of pain in the right foot and asks for pain medication. What nursing action is appropriate initially?
Correct Answer: C
Rationale: Phantom limb pain, common post-amputation, is real pain; administering ordered pain medication addresses it effectively. Elevation, placebos, or discussion are less appropriate initially.
Extract:
Mrs. A is a 40-year-old woman who reports menstrual irregularities and believes she is experiencing an early menopause. She reports feeling fatigue and restless at times. Physical findings reveal a thin woman with fine hair, moist, warm skin, and a goiter with bruit present. Heart rate is 110; BP 140/80.
Question 3 of 5
These findings are consistent with:
Correct Answer: B
Rationale: Symptoms and findings like goiter, tachycardia, and moist skin indicate Grave's disease (hyperthyroidism).
Extract:
The patient with ascites has a paracentesis and 1500 ml of fluid is removed.
Question 4 of 5
Immediately following the procedure it is most important for the nurse to observe for:
Correct Answer: A
Rationale: A rapid, thready pulse indicates hypovolemia or shock post-paracentesis, a critical complication.
Extract:
Question 5 of 5
A client with hyperemesis gravidarum is on a clear liquid diet. The nurse should serve this client:
Correct Answer: C
Rationale: A clear liquid diet consists of foods that are clear liquids at room temperature or body temperature, such as ice pops, regular or decaffeinated coffee and tea, gelatin desserts, carbonated beverages, and clear juices. Milk, pasteurized eggs, egg substitutes, and oatmeal are part of a full liquid diet.