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.
Question 2 of 5
The nurse is reviewing the chart of a 1-day-old infant. Which of the following data requires further action?
Correct Answer: B
Rationale: A respiratory rate of 72 is elevated for a newborn (normal 30-60 breaths/min), suggesting potential respiratory distress requiring further evaluation.
Question 3 of 5
The primary teaching for a client following an extracorporeal shock-wave lithotripsy (ESWL) procedure is
Correct Answer: A
Rationale: Drink 3000 to 4000 cc of fluid each day for one month.' Drinking three to four quarts (3000 to 4000 cc) of fluid each day will aid passage of fragments and help prevent formation of new calculi.
Question 4 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who is receiving ipratropium (Atrovent) via inhaler. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: C
Rationale: Dizziness may indicate systemic absorption or hypoxia, a serious concern in COPD requiring evaluation. Options A, B, and D are less concerning: four times daily is standard, dry mouth is a common side effect, and rinsing is appropriate.
Question 5 of 5
Which information should be given to a client taking Dilantin (phenytoin)?
Correct Answer: C
Rationale: Phenytoin can cause gingival hyperplasia, necessitating more frequent dental visits for gum care.