NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
A client weighing 76 kg is admitted at 0600 with a TBSA burn of 40%. Using the Parkland formula, the client's 24-hour intravenous fluid replacement should be:
Correct Answer: C
Rationale: The Parkland formula is 4 ml × kg × TBSA = 24-hour fluid requirement, or 4 × 76 × 40 = 12,160 ml. Answer A is the fluid requirement for the first 8 hours after burn injury, so it's incorrect. Answer B is incorrect because it's the fluid requirement for 16 hours after burn injury. Answer D is an excessive amount given the client's weight and TBSA, so it's incorrect.
Question 2 of 5
Procrastination, noncompliance, and intentional inefficiency are characteristics of the client with:
Correct Answer: D
Rationale: Passive aggressive personality disorder is characterized by indirect resistance, such as procrastination and intentional inefficiency.
Question 3 of 5
A 34-year-old male is admitted to the hospital with a possible diagnosis of pheochromocytoma. Which of the following symptoms would the nurse not expect to see during an attack?
Correct Answer: D
Rationale: Pheochromocytoma causes catecholamine release, leading to tachycardia, not bradycardia, during an attack.
Question 4 of 5
To prevent symptoms of Raynaud's, the client should:
Correct Answer: C
Rationale: Avoiding cold exposure is key to preventing vasospasms in Raynaud's disease, which cause symptoms like numbness and color changes in the extremities.
Question 5 of 5
The nurse should explain to a client that tolbutamide (Orinase) is effective for diabetics who
Correct Answer: B
Rationale:
Tolbutamide, an oral hypoglycemic, is effective for type II diabetics who produce minimal insulin, enhancing insulin release. Type I diabetics (no insulin production) require insulin injections, and the other options do not align with tolbutamide’s mechanism or indications.