NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
Question 1 of 5
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
Correct Answer: B
Rationale: Epilepsy increases the risk of injury due to seizures, which can cause falls or trauma. The other diagnoses are not directly related to epilepsy. Reduction of Risk Potential
Question 2 of 5
The nurse is caring for a client who is receiving total parenteral nutrition (TPN) (hyperalimentation and lipids). What is the priority nursing action on every 8 hour shift?
Correct Answer: C
Rationale: Because of the high dextrose and protein content in parenteral nutrition, the nurse should assess the urine at least every 8 hours.
Extract:
The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.
Question 3 of 5
The nurse should immediately:
Correct Answer: B
Rationale: Low urine output suggests renal or fluid issues, requiring vital signs and breath sound assessment.
Extract:
The nurse is reviewing laboratory results on a client with acute renal failure.
Question 4 of 5
Which one of the following lab values should be reported immediately?
Correct Answer: D
Rationale: A serum potassium of 5.9 mEq/L indicates hyperkalemia, which can cause life-threatening cardiac arrhythmias and requires immediate reporting.
Extract:
Question 5 of 5
The nurse is caring for a client with a history of multiple sclerosis. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: A cool environment prevents symptom exacerbation in multiple sclerosis, as heat worsens neurological symptoms. High-intensity exercise (
A) may cause fatigue, muscle relaxants (
C) depend on symptoms, and fluid restriction (
D) is inappropriate.