NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
A 66-year-old woman is being evaluated for pernicious anemia. Which assessment findings would be most apt to be present in a client with pernicious anemia?
Correct Answer: B
Rationale: Pernicious anemia, due to vitamin B12 deficiency, often causes neurological symptoms like leg pain or paresthesia. Bruising, rashes, or pruritus are less specific to this condition.
Question 2 of 5
A terminally ill client says to the nurse, 'Do you believe in heaven?' How should the nurse respond?
Correct Answer: C
Rationale: Reflecting the question back encourages the client to share beliefs, fostering spiritual discussion. Sharing personal beliefs, withholding, or redirecting are less therapeutic.
Extract:
A client with an irregular pulse rate of 81 and a potassium level of 3.0 mEq/L has digoxin (Lanoxin) ordered.
Question 3 of 5
Which of the following actions if taken by the nurse is BEST?
Correct Answer: C
Rationale: Strategy: The topic of the question is unstated. (1) although the pulse is normal, level of potassium must be considered (2) notify physician about low potassium (3) correct-hypokalemia can precipitate digoxin toxicity; physician should be called to obtain order for potassium supplement (4) notify physician about the potassium level
Extract:
Question 4 of 5
The nurse is teaching a client who has short-term memory loss how to use the call light. Which factor is least essential for the nurse to assess when teaching this client?
Correct Answer: B
Rationale: Ambulatory difficulty is least relevant, as call light use relies on vision, orientation, and language comprehension, not mobility.
Question 5 of 5
The nurse is planning care for an 8 year-old child. Which of the following should be included in the plan of care?
Correct Answer: A
Rationale: Encourage child to engage in activities in the playroom. According to Erikson, the school age child is in the stage of industry versus inferiority.
To help them achieve industry, the nurse should encourage them to carry out tasks and activities in their room or in the playroom.