NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
An adult has been diagnosed with gout. Which comment by the client indicates to the nurse that the client understands management of the condition?
Correct Answer: D
Rationale: Oatmeal is low-purine, suitable for gout management, unlike chicken, liver, or shrimp, which are high-purine and increase uric acid. Nuts are moderate and less ideal.
Extract:
A student nurse caring for a client while wearing a gown and gloves in addition to following standard precautions.
Question 2 of 5
The nurse should determine that care is appropriate if the student nurse performs which of the following activities?
Correct Answer: D
Rationale: Strategy: Determine how the organism of each disease is spread. (1) requires airborne precautions, particulate respirator (2) requires droplet precautions, nurse should wear a mask (3) requires standard precautions (4) correct-requires contact precautions
Extract:
Question 3 of 5
The nurse is assigned to a client who has heart failure. During the morning rounds the nurse sees the client develop sudden anxiety, diaphoresis and dyspnea. The nurse auscultates, crackles bilaterally. Which nursing intervention should be performed first?
Correct Answer: B
Rationale: Place the client in a sitting position with legs dangling. This reduces venous return, alleviating pulmonary edema symptoms.
Extract:
A baby girl weighing 7 lb 4 oz with Apgar scores of 7 and 8 at one and five minutes is admitted to the nursery. Her mother is a type I diabetic.
Question 4 of 5
The nurse knows the infant is at GREATest risk for developing
Correct Answer: B
Rationale: Strategy: Determine the cause of each answer choice. (1) no change in blood volume for infant of diabetic mother (2) correct-fetus produces increased insulin to match mother's increased glucose level during pregnancy, infant continues to have high insulin output after birth, resulting in hypoglycemia (3) infant would be at risk of hypoglycemia due to increased insulin production (4) thermal receptors in skin are stimulated due to cold environment, increases metabolic rate, infant needs to maintain normal body temperature while producing minimal amount of heat generated from metabolic processes, not expected with diabetic mother
Extract:
Question 5 of 5
The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed.
Correct Answer: D
Rationale: A nosebleed post-radiation therapy is the least stable situation, as it may indicate a serious complication like thrombocytopenia or tissue damage, requiring immediate assessment. Legal threats, staff issues, and lab result requests are less urgent than a potentially life-threatening condition.