NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
Question 1 of 5
A 48-year-old woman is seen in the outpatient clinic for complaints of irregular menses.
Correct Answer: B
Rationale: Irregular menses in a 48-year-old woman is most likely due to menopause, as ovarian function declines between ages 45- Stress lacks supporting data, fibroids cause excessive bleeding, and tubal pregnancy typically presents with missed periods and pain.
Extract:
A 62-year-old man who is scheduled for a total laryngectomy.
Question 2 of 5
Which of the following statements, if made by the family, would indicate to the nurse a need for further teaching?
Correct Answer: C
Rationale: Strategy: 'Further teaching is necessary' indicates an incorrect response. (1) will communicate in writing initially, then artificial larynx or esophageal speech (2) will require laryngectomy tube to prevent scar tissue contracture (3) correct-requires nutritional support for 10 days until wound heals, then gradually resumes oral intake (4) common with total laryngectomy
Extract:
Question 3 of 5
A child is injured on the school playground and appears to have a fractured leg. The first action the school nurse should take is
Correct Answer: C
Rationale: When applying the nursing process, assessment is the first step in providing care. The '5 Ps' of vascular impairment can be used as a guide (pain, pulse, pallor, paresthesia, paralysis).
Extract:
A client with severe multiple trauma injuries from a motor vehicle accident.
Question 4 of 5
After stabilizing a client with severe multiple trauma injuries from a motor vehicle accident, which of the following actions by the nurse is BEST?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer. Is it desired? (1) inappropriate (2) correct-would provide the appropriate spiritual support necessary during a crisis (3) inappropriate for the data given in the situation (4) inappropriate for the data given in the situation
Extract:
Question 5 of 5
Which of the following describes the proximodistal development in the infant?
Correct Answer: B
Rationale: Proximodistal development refers to motor control progressing from the center of the body outward, meaning infants gain control of larger muscles (arms) before finer muscles (fingers).