NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 of 5
A client with a cholesterol level of $240 \mathrm{mg}$ is instructed to modify his diet. Which of the following diets provides a low-cholesterol, low-saturated fat breakfast?
Correct Answer: A
Rationale: Oatmeal, skim milk, and margarine are low in cholesterol and saturated fat, unlike bacon, sausage, or cream cheese.
Question 2 of 5
The nurse notes that the client has a pulse deficit. What is the most appropriate action for the nurse?
Correct Answer: C
Rationale: A pulse deficit indicates irregular heartbeats, requiring immediate physician notification to assess for arrhythmias.
Question 3 of 5
Which vitamin is directly involved in the metabolism of the hormones secreted by the parathyroid?
Correct Answer: B
Rationale: Vitamin D is critical for calcium absorption, which is regulated by parathyroid hormones. Vitamins C, K, and B9 are not directly involved.
Question 4 of 5
The nurse is caring for a client with a history of breast cancer.
Correct Answer: B
Rationale: A new lump in the axillary region may indicate lymph node metastasis, requiring immediate evaluation. Fatigue, nausea, and hair loss are expected chemotherapy side effects.
Question 5 of 5
The nurse is caring for a client with a history of type 2 diabetes who is receiving sitagliptin (Januvia) 100 mg PO daily. Which of the following symptoms should the nurse report immediately?
Correct Answer: B
Rationale: Upper abdominal pain may indicate pancreatitis, a serious sitagliptin side effect. Options A, C, and D are less urgent.