NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
A 56-year-old male is admitted with a diagnosis of gastroesophageal reflux disease (GERD). The client is most likely to report esophageal discomfort following a meal of:
Correct Answer: D
Rationale: Hamburger and cola are high-fat and carbonated, respectively, both of which exacerbate GERD symptoms.
Extract:
A nursing assistant is assigned to constant observation of a suicidal patient.
Question 2 of 5
Which of the following statements made by the nursing assistant would require IMMEDIATE intervention by the nurse?
Correct Answer: D
Rationale: Strategy: 'Require IMMEDIATE intervention' indicates that something is wrong. (1) no reason to intervene (2) appropriate, client is not to be left alone for any reason (3) no reason to intervene (4) correct-client under constant observation; must not be left alone for any reason
Extract:
Question 3 of 5
A client with a total knee replacement returns from surgery. Which finding requires immediate nursing intervention?
Correct Answer: B
Rationale: A 90° flexion setting on the CPM machine is too aggressive post-surgery, risking injury, and requires immediate adjustment. Drainage , non-ambulation , and spasms are expected or less urgent.
Question 4 of 5
The nurse is planning care for a client with a diagnosis of paranoid schizophrenia. The nurse knows that questioning the client about his false ideas will
Correct Answer: A
Rationale: contraindicated; encourages patient to engage in further distortion of reality
Question 5 of 5
The nurse is teaching a client with a new diagnosis of hypothyroidism about levothyroxine (Synthroid). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping levothyroxine when feeling better is incorrect, as hypothyroidism requires lifelong replacement therapy to maintain euthyroid status. Options A, B, and C are correct: morning dosing minimizes insomnia, chest pain may indicate overdose, and calcium supplements interfere with absorption.