NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
Question 1 of 5
A client is in the third month of her first pregnancy. During the interview, she tells the nurse that she has several sex partners and is unsure of the identity of the baby's father. Which of the following nursing interventions is a priority?
Correct Answer: A
Rationale: Counsel the woman to consent to HIV screening. The client's behavior places her at high risk for HIV. Testing is the first step to ensure early treatment if positive.
Question 2 of 5
During a child's 18-month checkup, the mother remarks that her child is not doing any of the following. Which would cause most concern to the nurse?
Correct Answer: B
Rationale: Lack of eye contact at 18 months may indicate developmental issues like autism, warranting urgent evaluation, unlike the other age-appropriate delays.
Question 3 of 5
The nurse assessing a newborn with physiologic jaundice knows that physiologic jaundice is caused by:
Correct Answer: B
Rationale: Physiologic jaundice results from an immature liver's inability to conjugate bilirubin efficiently. Other options are unrelated to physiologic jaundice.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of asthma about fluticasone (Flovent). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Using fluticasone as a rescue inhaler is incorrect, as it is a corticosteroid for maintenance therapy, not acute symptoms. Options A, B, and C are correct: rinsing prevents oral thrush, twice-daily use is standard, and sore throat may indicate infection.
Question 5 of 5
Which task for a client with anemia and confusion could the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: B
Rationale: Test stool for occult blood and urine for glucose and report results. The UAP can do standard, unchanging procedures that require no decision making.