NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Question 1 of 5
What is the primary nutritional deficiency of concern for a strict vegetarian?
Correct Answer: B
Rationale: Vitamin B12 is primarily found in animal products, making it a common deficiency in strict vegetarians, potentially leading to anemia or neurological issues. The other nutrients are more readily available in plant-based diets. Health Promotion and Maintenance
Question 2 of 5
A client with AIDS is seen in the emergency room with complaints of mouth pain, difficulty swallowing, and a white discharge in the back of his throat. The nurse would expect the physician to order
Correct Answer: B
Rationale: Symptoms suggest oral candidiasis, common in AIDS. Ketoconazole is the drug of choice for candidiasis. Metronidazole (
A) treats amebiasis, Bactrim (
C) treats Pneumocystis pneumonia, and rifampin (
D) is for tuberculosis, none of which match the symptoms.
Extract:
A 78-year-old patient is admitted with pulmonary edema and given I.V. morphine sulfate.
Question 3 of 5
Why?
Correct Answer: C
Rationale: Morphine slows breathing and reduces anxiety in pulmonary edema, easing respiratory distress.
Extract:
Question 4 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Question 5 of 5
The nurse is caring for a client with a history of pancreatitis. Which of the following dietary recommendations should the nurse provide?
Correct Answer: B
Rationale: A low-fat, high-protein diet supports pancreatic healing by minimizing pancreatic stimulation and providing nutrients for recovery. High-fat (
A) or high-sodium (
C) diets exacerbate pancreatitis, and low-protein (
D) hinders tissue repair.