NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
A male client is preparing for discharge following an acute myocardial infarction. He asks the nurse about his sexual activity once he is home. What would be the nurse's initial response?
Correct Answer: D
Rationale: The nursing process is continuous and cyclical in nature. When a client expresses a specific concern, the nurse performs a focused assessment to gather additional data prior to planning and implementing nursing interventions.
Question 2 of 5
The nurse is caring for a man who has severe burns and had a skin graft. What nursing care measure is appropriate at the graft site the day of the graft?
Correct Answer: B
Rationale: Elevating the graft site reduces edema, promoting graft adherence on the first day. Open exposure, exercises, or frequent dressing changes risk graft failure.
Extract:
A client is going to be taking imipramine (Tofranil) at home following discharge.
Question 3 of 5
The nurse should instruct the client to report which of the following immediately to the nurse?
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-possible side effects of
Tofranil, a tricyclic antidepressant medication, which can be resolved by altering the dosage or changing the medication (2) describes side effects of antidepressants, which client can learn to manage at home without changing the medication (3) describes side effects of a different category of medications (4) describes side effects of a different category of medications
Extract:
Question 4 of 5
The nurse is teaching parents of a 7 month-old about adding table foods. Which of the following is an appropriate finger food?
Correct Answer: B
Rationale: Sliced bananas. Finger foods should be bite-size pieces of soft food such as bananas. Hot dogs and grapes can accidentally be swallowed whole and-mile occlude the airway. Popcorn is too difficult to chew at this age and can irritate the airway if swallowed.
Question 5 of 5
The nurse is doing a pain assessment on the client who has chronic back pain. Which assessment is of greatest value?
Correct Answer: C
Rationale: Self-reported pain rating (1-10 scale) is the most reliable indicator of pain intensity, guiding treatment effectively.