NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
A client with chronic congestive heart failure should be instructed to contact the home health nurse if which finding occurs?
Correct Answer: A
Rationale: Weight gain of 2 pounds or more in a 48 hour period. It is critical for clients to report and be treated for rapid weight gain, which indicates fluid retention and worsening heart failure.
Question 2 of 5
A mother wants to switch her 9 month-old infant from an iron-fortified formula to whole milk because of the expense. Upon further assessment, the nurse finds that the baby eats table foods well, but drinks less milk than before. What is the best advice by the nurse?
Correct Answer: C
Rationale: Continue with the present formula. Switching to whole milk before 12 months can lead to allergies and lactose intolerance.
Question 3 of 5
The nurse is using Naegel's Rule to estimate the expected date of delivery. The correct method of determining date of delivery is to:
Correct Answer: C
Rationale: Naegel's Rule calculates the expected delivery date by subtracting 3 months and adding 7 days to the first day of the last menstrual period.
Question 4 of 5
A mother brings her 26 month-old to the well-child clinic. She expresses frustration and anger due to her child's constantly saying 'no' and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need?
Correct Answer: C
Rationale: Independence. In Erikson's theory of development, toddlers struggle to assert independence, often using the word 'no' to establish autonomy.
Question 5 of 5
A school-aged child informs the school nurse that his right knee 'doesn't feel right.' Which of the following actions should the nurse take FIRST?
Correct Answer: D
Rationale: Comparing knees assesses for swelling or deformity, the first step in physical assessment. Options A, B, and C risk exacerbating injury or are interventions before assessment.