NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
A nurse admits a 3 week-old infant to the special care nursery with a diagnosis of bronchopulmonary dysplasia. As the nurse reviews the birth history, which data would be most consistent with this diagnosis?
Correct Answer: D
Rationale: The infant received mechanical ventilation for 2 weeks. Bronchopulmonary dysplasia is often caused by prolonged mechanical ventilation.
Question 2 of 5
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD).
Correct Answer: C
Rationale: Pursed-lip breathing prolongs exhalation, reducing air trapping and improving oxygenation in COPD. High-protein diets are beneficial but secondary, high-flow oxygen risks CO2 retention, and supine positioning impairs breathing.
Extract:
A client is admitted to the emergency room in severe emotional distress. The client's respirations are 42/min, and the blood gases reveal a pH of 7.5 and a PaCO2 of 34.
Question 3 of 5
Initially the nurse should
Correct Answer: A
Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-because of hyperventilation, client is in alkalosis; having him rebreathe his own carbon dioxide will reverse his blood gas imbalance (2) does not address the problem (3) is not hypoxic (4) is done when a client feels faint
Extract:
A client has just been admitted after sustaining a second-degree thermal injury to his right arm.
Question 4 of 5
Which of the following nursing observations is MOST important to report to the doctor?
Correct Answer: B
Rationale: Strategy: Determine how each assessment relates to burns. (1) expected findings in burn wound resolution (2) correct-decrease in gastric pH could indicate hypersecretion of hydrogen ions, predisposing factor to stress ulcer formation (3) expected findings in burn wound resolution (4) expected findings in burn wound resolution
Extract:
Question 5 of 5
The nurse is planning care for an 8 year-old child. Which of the following should be included in the plan of care?
Correct Answer: A
Rationale: Encourage child to engage in activities in the playroom. According to Erikson, the school age child is in the stage of industry versus inferiority.
To help them achieve industry, the nurse should encourage them to carry out tasks and activities in their room or in the playroom.