NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
A 23-year-old man with Addison's disease comes to the health clinic. The nurse should expect the client to report that his skin has become
Correct Answer: A
Rationale: increase in melanocyte-stimulating hormone results in 'eternal tan'
Question 2 of 5
An infant is suspected of having coarctation of the aorta. Which assessment finding is most related to coarctation of the aorta?
Correct Answer: B
Rationale: Coarctation of the aorta causes aortic narrowing, leading to higher blood pressure in the upper extremities compared to the lower, a hallmark sign.
Question 3 of 5
A college student comes to the college health services with complaints of a severe headache, nausea, and photophobia. The physician orders a complete blood count (CBC) and a lumbar puncture (LP). Which of the following lab results would the nurse expect if a diagnosis of bacterial meningitis were made?
Correct Answer: A
Rationale: CSF normally clear, colorless; normal WBC 5,000-10,000 per cubic millimeter, normal Hgb (male 13.5-17.5 g/dL, female 12-16 g/dL), normal Hct (male 41-53%, female 36-46%)
Question 4 of 5
The nurse is assessing a client who has had a spinal cord injury. Which of the following assessment findings would suggest the complication of autonomic dysreflexia?
Correct Answer: B
Rationale: severe headache results from rapid onset of hypertension
Question 5 of 5
The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse's first action should be:
Correct Answer: D
Rationale: Hypotension from epidural anesthesia is treated by increasing IV fluid volume with normal saline to restore blood pressure, so D is correct. Trendelenburg is not recommended, slowing the IV would worsen hypotension, and oxygen is secondary.