NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 of 5
A nursing student asks the nurse manager to explain the forces that drive health care reform. The appropriate response by the nurse manager should include
Correct Answer: A
Rationale: The escalation of fees with a decreased reimbursement percentage. The percentage of the gross national product representing health care costs rose dramatically with reimbursement based on fee for service. Reimbursement for Medicare and Medicaid recipients based on fee for service also escalates health care costs.
Question 2 of 5
The mother of a 10-year-old boy with IDDM (insulin-dependent diabetes mellitus) calls to discuss the child’s self-monitoring blood glucose (SMBG) home readings. He is being tightly regulated with a combination of NPH and regular insulin before breakfast and supper. The past two mornings his blood sugar readings were 220 mg/dL and 210 mg/dL. The nurse should advise the mother to
Correct Answer: B
Rationale: High morning blood sugars suggest rebound hyperglycemia (Somogyi effect) from nocturnal hypoglycemia, requiring nighttime glucose checks. Options A, C, and D are premature: continuing the regimen ignores the issue, and adjusting insulin or snack timing requires confirmation.
Question 3 of 5
The nurse is assessing the nursing care unit in a long-term facility for fire hazards. Which finding is the greatest fire hazard?
Correct Answer: B
Rationale: Storing flammable materials near oxygen increases fire risk, as oxygen supports combustion. Smoking, dust, or cluttered closets are less hazardous.
Question 4 of 5
The nurse is caring for clients in a rehabilitation facility. The nursing team reports that a client recovering from a hip fracture has repeatedly 'transferred herself to the floor.' Which of the following actions, if taken by the nurse, is BEST?
Correct Answer: C
Rationale: Observing the client’s transfer technique identifies the cause of falls, guiding interventions. Options A, B, and D are premature or restrictive.
Extract:
A five-year-old boy in the playroom.
Question 5 of 5
The school nurse observes a group of preschool children in the playroom. The nurse recognizes which of the following activities as appropriate behavior for a five-year-old boy?
Correct Answer: B
Rationale: Strategy: Picture the child. (1) play begins to be cooperative at this age (2) correct-imitative behavior seen at this age (3) too advanced for this age (4) too regressed for this age