NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
A woman who was recently diagnosed with multiple myeloma says to the nurse, 'Why did this happen to me? I've always been a good person. What did I do to deserve this?' What should the nurse do initially?
Correct Answer: C
Rationale: Acknowledging the client's emotional distress validates her feelings, fostering therapeutic communication. Other responses dismiss or redirect her concerns.
Question 2 of 5
A 15-year old is admitted following a motor vehicle accident. Examination reveals that the client has a closed head injury, a linear fracture of the temporal bone, a fracture of the mandible, and multiple abrasions. Upon admission, he is very drowsy. Which of the following orders would not be a part of the patient's care?
Correct Answer: D
Rationale: Demerol is contraindicated in head injuries due to its potential to mask neurological changes and increase intracranial pressure.
Question 3 of 5
The nurse is caring for a client with a history of heart failure who is receiving digoxin (Lanoxin) 0.25 mg PO daily. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: B
Rationale: Nausea and loss of appetite are signs of digoxin toxicity, a serious complication requiring immediate evaluation, especially in heart failure. Options A, C, and D are less concerning: fatigue and headaches are nonspecific, and taking digoxin with food is acceptable.
Question 4 of 5
A 53-year-old who has pernicious anemia is being seen in the physician's office. Because the client has pernicious anemia, which comment is of greatest concern to the nurse?
Correct Answer: B
Rationale: Leg pain suggests worsening neuropathy, a serious complication of pernicious anemia, requiring urgent evaluation to prevent irreversible nerve damage.
Question 5 of 5
The nurse is teaching a community group about healthy lifestyles to prevent cancer and heart disease. Which comment by a member of the group indicates a need for more teaching?
Correct Answer: C
Rationale: Daily walking strengthens the heart, reducing cardiovascular risk, not straining it. The other statements align with healthy lifestyle practices.