NCLEX-PN
NCLEX-PN Practice Questions Free Questions
Extract:
Question 1 of 5
Which nursing action is essential when providing continuous enteral feeding?
Correct Answer: A
Rationale: Elevating the head of the bed at least 30 degrees during enteral feeding minimizes the risk of aspiration and allows the formula to flow into the client's intestines. When such elevation is contraindicated, the client should be positioned on the right side. The nurse should give enteral feedings at room temperature to minimize GI distress.
To limit microbial growth, the nurse should hang only the amount of formula that can be infused in 8 hours.
Question 2 of 5
The nurse wishes to decrease a client's use of denial and increase the client's expression of feelings. To do this the nurse should:
Correct Answer: B
Rationale: Positive reinforcement of expressed feelings encourages the client to continue sharing emotions, reducing reliance on denial. Direct confrontation or instruction may increase resistance. Psychosocial Integrity
Question 3 of 5
The nurse is caring for a client with a history of seizures who is prescribed phenytoin (Dilantin). Which of the following side effects should the nurse monitor for?
Correct Answer: B
Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. Weight gain (
A), hypoglycemia (
C), and hair loss (
D) are not typical side effects of phenytoin.
Question 4 of 5
The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child?
Correct Answer: A
Rationale: Make certain the child is maintained in correct body alignment. Proper alignment ensures effective traction and prevents complications.
Question 5 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.