NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
A postpartum client admits to alcohol use throughout the pregnancy. Which of the following newborn findings suggests to the nurse that the infant has fetal alcohol syndrome?
Correct Answer: C
Rationale: Cranial facial abnormalities are noted. Characteristic facial abnormalities are seen in the newborn with fetal alcohol syndrome.
Extract:
An 8-year-old girl has a closed transverse fracture of her right ulna.
Question 2 of 5
Which of the following actions, if performed by the nurse before the application of a cast, is MOST important?
Correct Answer: A
Rationale: Strategy: Answers are a mix of assessments and implementations. Does this situation require assessment? Yes. (1) correct-assess neurovascular status, check pain, pallor, paralysis, paresthesia, pulselessness (2) assessment, temperature indicates decreased circulation, but is subjective and not most important (3) assessment, upper (not lower) extremity fracture (4) implementation, should not be done because it would increase skin irritation
Extract:
Question 3 of 5
The nurse is caring for a client with a history of peripheral artery disease.
Correct Answer: B
Rationale: Intermittent claudication (leg pain with activity, relieved by rest) is a hallmark of peripheral artery disease due to reduced blood flow. Warm skin and swelling suggest venous issues, and arm numbness is unrelated.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of type 2 diabetes about metformin (Glucophage). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping metformin when blood sugar is normal is incorrect, as type 2 diabetes requires ongoing treatment to maintain control. Options A, B, and C are correct: taking with meals reduces GI upset, nausea is a side effect, and alcohol increases lactic acidosis risk.
Question 5 of 5
Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client.
Correct Answer: C
Rationale: Prochlorperazine (Compazine) is incompatible with other medications in the same syringe, so it must be drawn and administered separately from Stadol. Monitoring vital signs (e.g., blood pressure for orthostatic hypotension) is important but not the priority before administration. Dilution and route verification are unnecessary.