NCLEX-PN
Free NCLEX-PN Practice Questions Questions
Extract:
The nurse is reviewing laboratory results on a client with acute renal failure.
Question 1 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:
A patient has been started on metformin for type 2 DM.
Question 2 of 5
You would tell your patient that the most common side effects of this drug are:
Correct Answer: C
Rationale: Frequent side effects of metformin include nausea and abdominal discomfort. Liver and kidney function tests are recommended before starting and periodically thereafter.
Extract:
Question 3 of 5
The nurse is caring for a client with a colostomy. The client reports that the colostomy bag is leaking. The nurse should
Correct Answer: C
Rationale: A leaking colostomy bag may indicate poor fit, skin irritation, or stoma changes, so assessing the stoma and peristomal skin is the first step to determine the cause and plan interventions. Taping (
A) is temporary, emptying/reapplying (
B) may not address the issue, and physician notification (
D) is premature.
Question 4 of 5
A 76-year-old client is admitted to a long-term care facility with Alzheimer's-type dementia. The client has been wearing the same dirty clothes for several days. The nurse contacts the family and asks them to bring in clean clothing. Which intervention would best prevent further regression in the client's personal hygiene?
Correct Answer: A
Rationale: Clients with Alzheimer's-type dementia tend to fluctuate in their capabilities. Encouraging self-care to the extent possible helps increase the client's orientation and promotes a trusting relationship with the nurse. Making the client assume responsibility for physical care is unreasonable. Assigning a staff member to take over the client's physical care restricts the client's independence. Accepting the client's desire to go without bathing promotes poor hygiene.
Question 5 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.