NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
Question 1 of 5
A young adult is admitted with a diagnosis of Guillain-Barré syndrome. Which nursing action will be of highest priority as the nurse plans care?
Correct Answer: B
Rationale: Guillain-Barré syndrome can cause ascending paralysis, risking respiratory muscle weakness; monitoring respirations is critical to detect respiratory failure early.
Question 2 of 5
Which task for a client with anemia and confusion could the nurse delegate to the unlicensed assistive personnel (UAP)?
Correct Answer: B
Rationale: Test stool for occult blood and urine for glucose and report results. The UAP can do standard, unchanging procedures that require no decision making.
Question 3 of 5
The nurse is caring for an older adult. Which statement made by the client is not typical of normal aging?
Correct Answer: A
Rationale: Increased sensitivity to salt taste is not typical of aging; taste sensitivity usually decreases. Difficulty reading, avoiding dusk driving, and color matching issues are normal aging changes.
Question 4 of 5
The nurse is caring for a client with a history of heart failure who is receiving furosemide (Lasix) 40 mg PO daily. Which of the following laboratory results should the nurse report immediately?
Correct Answer: A
Rationale: Hypokalemia (3.0 mEq/L) from furosemide increases arrhythmia risk in heart failure. Options B, C, and D are normal.
Question 5 of 5
A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Emotional support is what that patient needs most at this point in time.