NCLEX-PN
NCLEX-PN Practice Questions Quizlet Questions
Extract:
Question 1 of 5
Which finding, if present, should the nurse interpret to mean that dialysis has achieved the desired results?
Correct Answer: B
Rationale: A drop in blood pressure indicates successful fluid removal during dialysis, a primary goal. Weight gain, urine output, or normal glucose are not direct indicators of dialysis efficacy.
Question 2 of 5
Initial postoperative nursing care for an infant who has had a pyloromyotomy would initially include
Correct Answer: C
Rationale: Post-operatively, the initial feedings are clear liquids in small quantities to provide calories and electrolytes.
Question 3 of 5
A nurse is administering heparin subcutaneously to a patient. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Heparin is injected into the abdomen for consistent absorption, avoiding muscle tissue. Aspiration risks bleeding, massaging causes bruising, and a shorter needle (e.g., 5/8 inch) is used.
Question 4 of 5
Oxygen has been ordered for a client who was admitted to the hospital with congestive heart failure. Which assessment finding indicates that the oxygen has been effective?
Correct Answer: B
Rationale: A decreased respiratory rate indicates improved oxygenation, alleviating respiratory distress in congestive heart failure.
Question 5 of 5
The nursing assistant reports that a client who is on a high-protein diet is eating only the fruits and vegetables on the meal tray. The nurse notes that the client is from the country of India. The nurse talks with the client. Which response by the nurse is likely to do most to help the client meet nutritional needs?
Correct Answer: A
Rationale: Offering a vegetarian diet respects cultural preferences common in India, increasing adherence to nutritional needs. Asking about taste, favorite foods, or emphasizing the diet's importance is less effective.