NCLEX PN Exam practice test Questions and Answers updated 2024/2025
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Course
Nclex
Institution
Nclex
NCLEX PN Exam practice test Questions and Answers updated 2024/2025
A long-term care facility nurse has received an assignment which includes an 85-year-old, hearing impaired client. What is the MOST appropriate way to communicate with this patient?
a) face the client when speaking
b) ask the ...
NCLEX PN Exam practice test Questions and
Answers updated 2024/2025
A long-term care facility nurse has received an assignment which
includes an 85-year-old, hearing impaired client. What is the
MOST appropriate way to communicate with this patient?
a) face the client when speaking
b) ask the client if they would prefer to communicate through
sign language
c) speak as loudly and slowly as possible
d) when speaking, exaggerate lip movements to help the client
lip read. - correct answer a- The nurse must be careful to not
assume that the client cannot hear at all. He may simply have a
hearing aid and/or be hard of hearing. If the nurse asked if the
client would like to communicate through sign language, this
would be making the assumption that the client knows sign
language. It is not appropriate to shout or speak as loudly and
slowly as possible- this may actually make it more difficult for the
client to understand. It is ineffective to exaggerate lip
movements as this changes the way in which words are
communicated when a person is able to lip read. The initial and
most effective communication strategy is to face the client when
speaking and speak in a normal unhurried fashion to enable their
interpretation.
Which of these would be an appropriate meal for a client with
celiac disease?
a) chicken and rice, apple, and tapioca pudding
b) turkey sandwich with rye bread and carrots.
c) granola and dried apricots with cow's milk.
,d) egg noodles with cream sauce and broccoli, oat cookie, and
almond milk. - correct answer a- Rice, fruits, vegetables, meat,
dairy, and tapioca are all safe gluten-free options. Oats can be a
gluten-free food if they are specially labeled, but many are
processed on the same equipment as wheat and so they should
not automatically be considered a safe item. Unless marked,
granola typically contains oats that could have been exposed to
gluten. While fresh fruit is safe, dried and prepackaged fruits
may contain additives that contain gluten. Rye is wheat
derivative, and many cream sauces contain flour as a base.
the LPN is caring for a 32 year old female client who is 8 hours
post-op after a tonsillectomy. which of these would be an
appropriate action taken by the nurse?
a) inform the client that ear pain may occur and is normal
b) provide ice water and a straw to promote easy fluid
consumption
c) provide hot tea to sooth the throat
d) monitor vitals every 15 minutes. - correct answer a-
Referred pain in the ear is normal after a tonsillectomy because
of related nerve pathways. Vitals should be monitored every 15
minutes in the immediate postoperative period and then every 4
hours thereafter. Straws and hot beverages should be avoided as
they may irritate the throat and disturb healing.
A client is on a clear liquid diet. She drinks half of a 12-ounce
juice, 4 ounces of soup, and has a 6-ounce JELL-O®. How many
milliliters of fluid did the patient ingest?
a) 440 ml
b) 660 ml
c) 22 ml
, d) 480 ml - correct answer d-
1 ounce = 30 ml, so
Juice, 6 ounces (half of 12 oz) x 30 = 180 ml (Remember that oz
is an abbreviation for ounces.)
Soup, 4 ounces x 30 = 120 ml
JELL-O®, 6 ounces x 30 = 180 ml
180 + 120 + 180= 480 ml
Note that gelatin, ice cream, and other things that are liquid at
room temperature are counted as fluids.
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An LPN is caring for a new admission recovering from a knee
replacement. In assisting the client to the bathroom, what step
would best prevent a client fall?
a) ask the client to march in place before walking toward the
bathroom
b) ask the client to stand and extend his or her arms for 5
seconds.
c) ask the client to shake hands while in bed
d) ask the client if he or she prefers crutches or a walker. -
correct answer c-This will assess the client's ability to follow
instructions and upper body strength prior to attempting
ambulation.
an LPN is caring for a primarily bedridden client. which finding
should be of least concern?
a) swollen feet
b) capillary refill time of 3 seconds on the big toe
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