NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
A 10-year-old child is admitted to the hospital with injuries. Which finding most suggests that additional assessment for child abuse is indicated?
Correct Answer: D
Rationale: Constant parental presence may indicate control or fear of the child disclosing abuse, warranting further abuse assessment.
Question 2 of 5
The nurse is caring for a client with an electrical burn. Which structures have the greatest risk for soft tissue injury?
Correct Answer: A
Rationale: Fat, tendon, and bone have the most resistance. The higher the resistance, the greater the heat generated by the current, thereby increasing the risk for soft tissue injury. Answer B has intermediate resistance, so it is incorrect. Answer C is incorrect because it has very low resistance. Answer D has low to intermediate resistance, so it is incorrect.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of rheumatoid arthritis about hydroxychloroquine (Plaquenil). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping hydroxychloroquine when joints feel better is incorrect, as rheumatoid arthritis requires ongoing treatment to prevent flares. Options A, B, and C are correct: vision changes may indicate retinal toxicity, food reduces GI upset, and eye exams monitor for toxicity.
Question 4 of 5
The nurse must know that the most accurate oxygen delivery system available is
Correct Answer: A
Rationale: The most accurate way to deliver oxygen to the client is through a Venturi system such as the Venti Mask. The Venti Mask is a high flow device that entrains room air into a reservoir device on the mask and mixes the room air with 100% oxygen. The size of the opening to the reservoir determines the concentration of oxygen. The client's respiratory rate and respiratory pattern do not affect the concentration of oxygen delivered. The maximum amount of oxygen that can be delivered by this system is 53%.
Question 5 of 5
Which assessment finding is most indicative of increased ICP in a client admitted with a basilar skull fracture?
Correct Answer: D
Rationale: Papilledema, or swelling of the optic disc, is a specific sign of increased intracranial pressure due to pressure on the optic nerve. Nausea, vomiting, headache, and dizziness are less specific symptoms, so answers A, B, and C are incorrect.