NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
A man who had a cerebrovascular accident has expressive aphasia. Which approach will help communication the most?
Correct Answer: C
Rationale: Encouraging speech practice aids communication recovery in expressive aphasia, fostering independence. Writing, anticipating needs, or relying on family are less effective.
Question 2 of 5
The nurse is caring for a client who is postoperative day 1 after a total hip replacement. Which of the following actions is the PRIORITY?
Correct Answer: C
Rationale: Positioning with legs abducted prevents hip dislocation, a critical complication post-hip replacement. Options A, B, and D are important but secondary: incentive spirometry prevents pneumonia, pain management supports recovery, and dressing checks monitor bleeding.
Question 3 of 5
A client with end stage renal disease has been managed by peritoneal dialysis. Which finding should be reported to the doctor immediately?
Correct Answer: B
Rationale: Complaints of abdominal pain, nausea, fever, and return of cloudy dialysate should be reported to the physician since they are indications of peritonitis. Diminished or slow return of dialysate, as mentioned in answer A, is managed by having the client turn side to side or move about to facilitate return flow, so it is incorrect. Answers C and D are favorable findings that do not require intervention; therefore, they are incorrect.
Question 4 of 5
While a client is receiving TPN, it is MOST important for the nurse to monitor
Correct Answer: C
Rationale: TPN can cause hyperglycemia and electrolyte imbalances, making serum glucose and electrolyte monitoring critical. Options A, B, and D are less specific.
Question 5 of 5
Which comment is the client who has Parkinson's disease most likely to make?
Correct Answer: B
Rationale: Rigidity and stiffness, especially after immobility, are hallmark Parkinson's symptoms, unlike tremors (more action-specific), dry mouth, or gait preferences.