NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
A client hospitalized with bipolar disorder, manic phase, begins to talk loudly, pace the floor, and shout commands to others in the day room as he quickly changes the TV channels. The nurse's first action should include:
Correct Answer: B
Rationale: Escorting the client from the day room de-escalates the situation by removing them from a stimulating environment, reducing agitation.
Question 2 of 5
The nurse is caring for a four-year-old child with a closed head injury. The nurse would be reassured by which of the following observations?
Correct Answer: A
Rationale: Stating his name indicates orientation, a positive sign post-head injury. Options B, C, and D are less reassuring: reaching for a toy is nonspecific, opisthotonos suggests meningeal irritation, and withdrawal may occur in unconscious states.
Question 3 of 5
A 21-year-old woman at 16 -weeks gestation undergoes an amniocentesis. The client asks the nurse what the physician will learn from this procedure. The nurse's response should be based on an understanding that which of the following conditions can be detected by this Test ?
Correct Answer: C
Rationale: maternal antibodies destroy fetal RBCs; bilirubin secreted because of hemolysis
Question 4 of 5
During the admission assessment on a client with chronic bilateral glaucoma, which statement by the client would the nurse anticipate since it is associated with this problem?
Correct Answer: C
Rationale: I have to turn my head to see my room. Intraocular pressure becomes elevated, producing a progressive loss of the peripheral visual field in the affected eye.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of hypertension about hydrochlorothiazide (Hydrodiuril). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping hydrochlorothiazide when feeling better is incorrect, as hypertension requires lifelong treatment to prevent complications. Options A, B, and C are correct: muscle cramps may indicate hypokalemia, potassium-rich foods are recommended, and morning dosing minimizes nocturia.