NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 of 5
A client is discharged following hospitalization for congestive heart failure. The nurse teaching the family suggests they encourage the client to rest frequently in which of the following positions?
Correct Answer: A
Rationale: High Fowler's. This position decreases cardiac workload and facilitates breathing.
Question 2 of 5
The nurse is caring for a client with heart failure.
Correct Answer: A
Rationale: A weight gain of 2 pounds in 24 hours indicates fluid retention, a sign of worsening heart failure. Decreased blood pressure may occur but is less specific, clear lung sounds suggest stability, and improved exercise tolerance indicates improvement.
Question 3 of 5
The nurse is caring for an adult who had a cervical laminectomy this morning. After an uneventful stay in the postanesthesia care unit, the client is returned to the nursing care unit. How should the client be positioned immediately upon return?
Correct Answer: C
Rationale: Semi-reclining reduces neck strain and swelling post-cervical laminectomy, promoting comfort and healing. Supine or prone may increase pressure, and side-lying is less optimal.
Extract:
A 35-year-old woman receiving metronidazole (Flagyl) 250 mg PO tid for 7 days.
Question 4 of 5
Which of the following statements, if made by the woman, would indicate that teaching has been effective?
Correct Answer: B
Rationale: Strategy: 'Teaching has been effective' indicates a correct statement. (1) given with meals to decrease GI upset (2) correct-causes Antabuse-like reaction of nausea and vomiting, headache, cramps, flushing (3) frequently seen, not a problem (4) sensitivity to sun not seen with this medication
Extract:
Question 5 of 5
At a health-screening clinic, an adult male client's total plasma cholesterol level is 200 mg/dL. The nurse should
Correct Answer: A
Rationale: A cholesterol level of 200 mg/dL is borderline high; reducing fatty foods is appropriate. Options B, C, and D are less immediate or incorrect.