NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
A client is scheduled to have a blood test for cholesterol and triglycerides the next day. The nurse would tell the client
Correct Answer: B
Rationale: Do not eat or drink anything but water for 12 hours before the blood test.' Blood lipid levels should be measured on a fasting sample.
Question 2 of 5
The home health nurse visits a male client to provide wound care and finds the client lethargic and confused. His partner states he fell down the stairs 2 hours ago. The nurse should
Correct Answer: B
Rationale: This client requires immediate evaluation. A delay in treatment could result in further deterioration of his condition and possibly permanent harm. Home care nurses must prioritize interventions based on assessment findings that are in the client's best interest.
Question 3 of 5
A client with bipolar disorder receives Eskalith (lithium carbonate) bid. Which observation is associated with lithium toxicity?
Correct Answer: C
Rationale: Ataxia , or impaired coordination, is a sign of lithium toxicity. Hyporeflexia is not typical. Akathesia is restlessness, often linked to antipsychotics. Petechiae indicate bleeding issues, not lithium toxicity.
Question 4 of 5
The nurse is to make several home visits today. All of the visits are within a 5-mile radius. All of the following persons need to be seen. Which person should the nurse visit first?
Correct Answer: A
Rationale: Leg ulcers in a diabetic with peripheral vascular disease pose infection and healing risks, prioritizing wound care. Other needs are less urgent.
Question 5 of 5
A client has just been admitted with portal hypertension. Which nursing diagnosis would be a priority in planning care?
Correct Answer: B
Rationale: Potential complication hemorrhage. Esophageal varices are dilated and tortuous vessels of the esophagus that are at high risk for rupture if portal circulation pressures rise.