NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
Twenty-four hours following burn accident, Johnny was given Morphine Sulfate to control his pain.
Question 1 of 5
Which of the following parameters should the nurse utilize to accurately measure the client's response to drug therapy?
Correct Answer: B
Rationale: The pain scale provides an objective measure of pain intensity, assessing morphine's effectiveness.
Extract:
Question 2 of 5
A 76-year-old man living at the long-term care facility has lost 10 lb in the last two months. He states that although he has had dentures for two years, they have not felt comfortable for the past three or four months so he rarely uses them at mealtime. The nurse's first priority would be to ask the client's physician to do which of the following?
Correct Answer: B
Rationale: A dental consult addresses ill-fitting dentures, the root cause of weight loss, prioritizing correction to improve nutrition.
Question 3 of 5
Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?
Correct Answer: D
Rationale: Abruptio placentae causes hemorrhage due to premature placental separation, leading to fluid volume deficit, a major nursing concern. Infection (
A) is unrelated, and choices B and C are incorrectly phrased nursing diagnoses.
Question 4 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.
Question 5 of 5
The nurse is preparing to boost a client up in bed. She instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
Correct Answer: D
Rationale: Using a trapeze reduces shearing forces (opposing forces that cause layers of skin to move over each other, stretching and tearing capillaries and, eventually, resulting in necrosis), which increase the risk of pressure ulcer development. They can occur as clients slide down in bed or when they're pulled up in bed.
To reduce shearing forces, the nurse should instruct the client to use an overbed trapeze, place a draw sheet under the client to move the client up in bed, and keep the head of the bed no higher than 30 degrees. The risks of friction, impaired circulation, and localized pressure aren't decreased with trapeze use.