NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
A 55-year-old woman with end-stage metastatic cancer of the breast is admitted to the hospital. It is MOST important for the nurse to
Correct Answer: C
Rationale: Turning every two hours prevents pressure ulcers in immobile cancer patients, a priority for skin integrity. Options A, B, and D are less critical unless specifically indicated.
Question 2 of 5
A pregnant diabetic client, who is 37 weeks gestation, is scheduled for an amniocentesis. The client asks the nurse the purpose of the test. The nurse should explain that the primary reason for performing an amniocentesis is:
Correct Answer: C
Rationale: At 37 weeks, amniocentesis primarily assesses fetal lung maturity via lecithin/sphingomyelin ratio, critical for delivery planning. Diabetes effects , skeletal age , and genetic issues are less common indications.
Question 3 of 5
The nurse counsels a 70-year-old woman who comes to the outpatient clinic for a routine examination.
Correct Answer: C
Rationale: Excessive laxative use in a 70-year-old likely reflects overconcern with bowel function, common in elderly patients facing physical changes like constipation. There’s no evidence of anal fixation, depression, or regression in the scenario.
Question 4 of 5
After 4 electroconvulsive treatments over 2 weeks, a client is very upset and states 'I am so confused. I lose my money. I just can't remember telephone numbers.' The most therapeutic response for the nurse to make is
Correct Answer: D
Rationale: Communicating caring and empathy with the acknowledgement of feelings is the initial response. Afterwards, teaching about the expected short-term effects would be discussed.
Question 5 of 5
A LPN/LVN contacts the nurse to say that s/he has shingles on her/his back. Which of the following statements by the nurse is BEST?
Correct Answer: B
Rationale: Localized shingles allows work if lesions are covered, as with back lesions. Options A, C, and D are overly restrictive or unnecessary.