NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
A 16-year-old young woman is brought by her parents to the outpatient clinic for treatment of pelvic inflammatory disease (PID). While the nurse obtains a history, the client says bitterly, 'My parents are mean and don't really care about me.' Which of the following responses by the nurse is BEST?
Correct Answer: A
Rationale: Reflecting the client’s feelings validates her emotions, encouraging therapeutic communication. Options B, C, and D are nontherapeutic, dismissing or challenging her statement.
Question 2 of 5
A client has recently been diagnosed with Type 1 diabetes mellitus. The nurse is instructing the client about self-administering insulin. What should be included in the teaching? Select all that apply.
Correct Answer: C,D,E
Rationale: Injecting 1 inch from the umbilicus ensures absorption, drawing regular insulin before NPH prevents contamination, and checking glucose confirms dosing need. Pinch skin (not muscle), don't shake insulin, and rotate sites.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of heart failure about carvedilol (Coreg). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Dizziness or lightheadedness may indicate hypotension, a carvedilol side effect, requiring reporting. Options A, C, and D are incorrect.
Question 4 of 5
Docusate sodium (Colace) is ordered for an adult who had a myocardial infarction yesterday. The client asks the nurse why docusate sodium is prescribed. The nurse's response should include which information?
Correct Answer: D
Rationale: Docusate sodium is a stool softener, reducing straining during bowel movements, which decreases cardiac strain post-MI.
Question 5 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.