NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
When taking a dietary history from a newly admitted client, the nurse should remember that which of the following foods is a common allergen?
Correct Answer: D
Rationale: Common food allergens include berries, peanuts, Brazil nuts, cashews, shellfish, and eggs. Bread, carrots, and oranges rarely cause allergic reactions.
Extract:
Which of the following female patients is at the highest risk for the development of breast cancer?
Question 2 of 5
A 28-year-old who was 10 years old at menarche.
Correct Answer: A
Rationale: Early menarche (before age 12) is a known risk factor for breast cancer due to prolonged exposure to estrogen.
Extract:
Question 3 of 5
The nurse is caring for an adult who had a total gastrectomy last week. Because of the type of surgery, the nurse should monitor the client carefully for which of the following? Select all that apply.
Correct Answer: A,C
Rationale: Gastrectomy removes intrinsic factor-producing cells, risking pernicious anemia, and rapid gastric emptying causes dumping syndrome. Ulcerative colitis, stress ulcers, hiatal hernia, and thrombophlebitis are not directly related to gastrectomy.
Question 4 of 5
An adult who is undergoing diagnostic tests to diagnose a possible malignancy angrily says to the nurse, 'You don't know anything. I want someone competent caring for me.' What is the best initial nursing response?
Correct Answer: B
Rationale: Acknowledging the client's distress validates their feelings, de-escalating anger and fostering therapeutic communication.
Question 5 of 5
A young adult who was in a motorcycle accident is brought to the emergency room with a closed head injury with suspected subdural hematoma. Although the client complains of a severe headache, he is alert and answers questions appropriately. The nurse would question which of the following orders?
Correct Answer: B
Rationale: Morphine sulfate, a narcotic analgesic, causes central nervous system (CNS) and respiratory depression. In patients with head injuries, it is contraindicated because it masks signs of increased intracranial pressure (ICP), such as changes in level of consciousness, which are critical for monitoring neurological status. Promethazine is an antiemetic, docusate is a stool softener, and ranitidine prevents stress ulcers, none of which pose the same risk in this context.