NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
An 85-year-old client with diverticulitis has been vomiting and febrile for 12 hours. Where is the best location to assess skin turgor on this client?
Correct Answer: D
Rationale: This is the best area to check in the elderly due to loss of skin elasticity that occurs with aging. Answers A, B, and C are all influenced by loss of elasticity more than the sternum, so they are incorrect.
Question 2 of 5
A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse.
Correct Answer: A
Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia, characterized by confusion, cold, clammy skin, and tachycardia (pulse 110) due to sympathetic activation. Hyperglycemia causes hot, dry skin and rapid respirations, while normal or fluid overload symptoms do not apply.
Question 3 of 5
The nurse is preparing to discharge a client with a new diagnosis of asthma.
Correct Answer: D
Rationale: Daily peak flow monitoring helps the client detect early changes in lung function, enabling timely intervention to prevent asthma exacerbations. Using a spacer, proper medication sequencing, and exercise management are important but secondary to ongoing monitoring.
Question 4 of 5
The nurse is caring for a client who is receiving IV gentamicin for a gram-negative infection. Which of the following laboratory results should the nurse report immediately?
Correct Answer: A
Rationale: A creatinine of 2.0 mg/dL indicates nephrotoxicity, a serious gentamicin side effect. Options B, C, and D are normal.
Question 5 of 5
Which statement by the nurse is appropriate when giving an assignment to an unlicensed assistive personnel (UAP) to help a client ambulate for the first time after a colon resection?
Correct Answer: A
Rationale: This statement gives clear directions to the UAP about the task and is most closely associated with the information provided in the stem that this is the client's first time out of bed after surgery.