NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
A Hispanic client refuses emergency room treatment until a curandero is called. The nurse understands that this person brings what to situations of illness?
Correct Answer: A
Rationale: Holistic healing. This traditional folk practitioner uses holistic methods for illnesses, often working with traditional health care providers.
Question 2 of 5
A client has just returned to the medical-surgical unit following a segmental lung resection. After assessing the client, the first nursing action would be to
Correct Answer: B
Rationale: Suction excessive tracheobronchial secretions. Suctioning the copious tracheobronchial secretions present in post-thoracic surgery clients maintains an open airway, which is always the priority nursing intervention.
Question 3 of 5
The nurse counsels a 70-year-old woman who comes to the outpatient clinic for a routine examination.
Correct Answer: C
Rationale: Excessive laxative use in a 70-year-old likely reflects overconcern with bowel function, common in elderly patients facing physical changes like constipation. There’s no evidence of anal fixation, depression, or regression in the scenario.
Question 4 of 5
The nurse is caring for a client with a history of ulcerative colitis.
Correct Answer: B
Rationale: A white blood cell count of 15,000/mm³ suggests infection or severe inflammation in ulcerative colitis, requiring immediate attention. Low hemoglobin and albumin are common, and normal potassium is unremarkable.
Question 5 of 5
When suctioning a client's tracheostomy, the nurse should instill saline in order to
Correct Answer: D
Rationale: remove a mucus plug. While no longer recommended for routine suctioning, saline may thin and loosen viscous secretions that are very difficult to move, perhaps making them easier to suction.