NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
Question 1 of 5
A client who had a total thyroidectomy this morning returns to the nursing care unit. How should the nurse position the client?
Correct Answer: A
Rationale: Semi-sitting reduces neck swelling and promotes airway patency post-thyroidectomy. Supine, prone, or Sims' positions increase complications.
Question 2 of 5
Which finding indicates a need for further assessment of the client scheduled for a magnetic resonance imaging?
Correct Answer: C
Rationale: Shellfish allergy may indicate iodine sensitivity, relevant for MRI contrast dye, requiring further assessment. Diabetes , bed preference , and asthma are not contraindications.
Extract:
An infant who had a repair of a cleft lip and palate. The respiratory assessment reveals that the infant has upper airway congestion and slightly labored respirations.
Question 3 of 5
Which of the following nursing actions would be MOST appropriate?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) will not promote adequate drainage from the upper airways (2) contraindicated based on the infant's operative site (3) correct, will facilitate drainage of mucus from upper airway, and will promote adjustment to breathing through the nose (4) does not relieve the congestion
Extract:
Question 4 of 5
A young adult is admitted with a diagnosis of Guillain-Barré syndrome. Which nursing action will be of highest priority as the nurse plans care?
Correct Answer: B
Rationale: Guillain-Barré syndrome can cause ascending paralysis, risking respiratory muscle weakness; monitoring respirations is critical to detect respiratory failure early.
Question 5 of 5
The parents of a newborn male with hypospadias want their child circumcised. The best response by the nurse would be to inform them that
Correct Answer: A
Rationale: Circumcision is delayed so the foreskin can be used for the surgical repair. Even if only mild hypospadias is suspected, circumcision is not done to save the foreskin for surgical repair.