NCLEX Practice Questions PN Questions

Question 1 of 5

A nurse is reinforcing teaching to a client that breastfeeds who has been diagnosed with mastitis of the right breast. Which of the following instructions should be included? Select all that apply.

A. Cease breastfeeding from right breastB. Increase oral fluid intakeC. Reduce frequency of feeds to every 8 hours in right breastD. Take ibuprofen as needed for painE. Use a tight-fitting underwire bra 24 hours per day

Correct Answer: B, D

Rationale: Increased fluids (
B) and ibuprofen (
D) manage dehydration and pain. Ceasing breastfeeding (
A) or reducing feeds (
C) can worsen mastitis, and tight bras (E) may increase discomfort.

Question 2 of 5

The nurse is making assignments for the day's care. Which assignment should not be given to the nursing assistant?

A. Emptying the Foley catheter bagB. Administering a Fleet's enemaC. Measuring the oral intakeD. Feeding a client with depression

Correct Answer: B

Rationale: Administering an enema requires nursing judgment and is outside a nursing assistant's scope. Other tasks are appropriate for a nursing assistant.

Question 3 of 5

A client with metastatic esophageal cancer says, 'I don't want to be kept alive being fed by a tube.' What are the most appropriate ways for the nurse to ensure that this information is available to all who may need it for future decision-making? Select all that apply.

A. Document this communication in the electronic health recordB. Encourage the client to discuss this decision with the health care proxyC. Facilitate completion of an advance directive that reflects the client's decisionD. Obtain a signed informed consent from the clientE. Tell the health care provider (HCP) that the client needs a do-not-resuscitate (DNR) order

Correct Answer: A, B, C

Rationale: Documenting in the EHR (
A), discussing with the proxy (
B), and completing an advance directive (
C) ensure the client's wishes are communicated. Informed consent (
D) is irrelevant, and DNR (E) is not indicated.

Question 4 of 5

The nurse reviews a prescription to insert an indwelling urinary catheter in a hospitalized client. Which rationale for indwelling urinary catheter insertion is most appropriate?

A. The client has acute urinary retentionB. The client is confused and incontinentC. The client is elderly and at risk for fallsD. The client is receiving intravenous diuretics

Correct Answer: A

Rationale: Acute urinary retention (
A) is a medical indication for catheterization. Confusion/incontinence (
B), fall risk (
C), and diuretics (
D) are not sufficient justifications.

Question 5 of 5

Which interventions does the nurse perform to promote normal rest and sleep patterns for a critically ill client? Select all that apply.

A. Dimming the lights at nightB. Leaving the television on for diversion at nightC. Opening the window blinds/shades in the morningD. Scheduling interventions and activities during the day when possibleE. Turning off equipment alarms in the client's room at night

Correct Answer: A, C, D

Rationale: Dimming lights (
A), opening blinds in the morning (
C), and scheduling activities during the day (
D) promote circadian rhythms and rest. Leaving the TV on (
B) may disrupt sleep, and turning off alarms (E) compromises safety.

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