NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 of 5
A 6-year-old child is seen in the physician's office. His mother tells you that for the last few weeks, the child has been urinating frequently, drinking and eating a lot. The nurse determines that the urine specific gravity is 1.004. The child is afebrile. What tests does the nurse expect to be ordered for this client at this time?
Correct Answer: B
Rationale: Polyuria, polydipsia, polyphagia, and low urine specific gravity (1.004) suggest diabetes mellitus; urine and finger stick glucose tests confirm hyperglycemia. CBC, IVP, or culture are less relevant.
Question 2 of 5
The nurse is caring for a client with a history of type 2 diabetes who is receiving exenatide (Byetta) 10 mcg SC bid. Which of the following symptoms should the nurse report immediately?
Correct Answer: B
Rationale: Upper abdominal pain may indicate pancreatitis, a serious exenatide side effect. Options A, C, and D are less urgent: nausea is common, thirst is expected, and fatigue is nonspecific.
Question 3 of 5
The client is taking streptomycin, isoniazid, and rifampin (Rimactane). Which statement indicates toxicity to isoniazid?
Correct Answer: B
Rationale: Isoniazid can cause peripheral neuropathy, manifesting as sharp leg pains. Tinnitus is linked to streptomycin, orange urine to rifampin, and color vision issues are unrelated.
Question 4 of 5
A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include
Correct Answer: A
Rationale: The escalation of fees with a decreased reimbursement percentage. The percentage of the gross national product representing health care costs rose dramatically with reimbursement based on fee for service. Reimbursement for Medicare and Medicaid recipients based on fee for service also escalates health care costs.
Question 5 of 5
The nurse is caring for a client with a history of anxiety disorder.
Correct Answer: B
Rationale: Deep breathing exercises calm the autonomic nervous system, reducing acute anxiety effectively and non-invasively. Benzodiazepines are used cautiously, isolation increases anxiety, and high-stimulus environments worsen it.