NCLEX-PN
Best NCLEX Next Gen Prep Questions
Extract:
Question 1 of 5
What ethical obligations do professional nurses have according to the ANA Code of Ethics for Nurses?
Correct Answer: D
Rationale: The correct answer is 'all of the above.' According to the ANA Code of Ethics for Nurses, professional nurses have ethical obligations to patients (clients), the nursing profession, and providing high-quality care. These elements are fundamental principles outlined in the code of ethics to guide nurses in their practice.
Choice A is correct as nurses prioritize the well-being and care of their patients.
Choice B is correct as nurses are expected to uphold the values and integrity of the nursing profession.
Choice C is correct as providing high-quality care is a core ethical obligation of nurses.
Therefore, all the choices align with the ANA Code of Ethics for Nurses.
Question 2 of 5
When performing an abdominal assessment, what is the correct order of the tasks?
Correct Answer: C
Rationale: The correct order of tasks when performing an abdominal assessment is to first inspect the abdomen visually, then auscultate to assess bowel sounds without altering them, followed by percussing to assess the presence of tympany or dullness, and finally palpating to feel for any tenderness, masses, or organ enlargement. Placing palpation or percussion before auscultation, as in choices A, B, and D, can affect the bowel sounds and examination findings, making them incorrect sequences.
Question 3 of 5
Which of the following values should be monitored closely while a client is on total parenteral nutrition?
Correct Answer: C
Rationale: Glucose is the correct value to monitor closely while a client is on total parenteral nutrition.
Total parenteral nutrition solutions have high glucose concentrations, necessitating monitoring to prevent complications like hyperglycemia. Calcium, magnesium, and cholesterol are not typically closely monitored during total parenteral nutrition as they are not directly related to the solution's composition or potential associated complications.
Question 4 of 5
What is the most appropriate intervention for a client with suspected genitourinary trauma and visible blood at the urethral meatus?
Correct Answer: D
Rationale: A urologist consult is the most appropriate intervention for a client with visible blood at the urethral meatus and suspected genitourinary trauma. This specialist can evaluate the extent of the trauma and provide the necessary treatment. Foley catheter insertion (
Choice
A) and in-and-out catheter specimen for urinalysis (
Choice
B) are contraindicated in the presence of genitourinary trauma as they can worsen the injury. While a voided urine specimen for urinalysis (
Choice
C) may be ordered by the physician, it does not address the specific management needed for genitourinary trauma.
Therefore, a urologist consult is the best option in this scenario.
Question 5 of 5
The nurse receives an order to administer phenytoin through the client's J-tube. The order instructs that tube feedings are stopped at least an hour prior to administering the medication and an hour after the medication is administered. Which of the following considerations may be a reason to discuss this order with the physician?
Correct Answer: B
Rationale: For a client on a continuous tube-feeding regimen, stopping tube feedings for two hours to administer this medication may compromise the client's nutritional status. This interruption can lead to inadequate nutrient intake, affecting the client's overall nutritional well-being. The other choices are less relevant in this situation. Type II diabetes does not directly impact the administration of phenytoin through a J-tube. Fluid restriction would not prevent the temporary interruption of tube feedings for medication administration. The form of phenytoin provided by the pharmacy does not impact the need to discuss the order with the physician regarding the client's continuous tube-feeding regimen.