NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
An adult is thought to have myasthenia gravis. The nurse knows that which test is most likely to be ordered for the client?
Correct Answer: D
Rationale: The edrophonium test, which temporarily improves muscle strength in myasthenia gravis, confirms diagnosis by enhancing neuromuscular transmission, unlike imaging or lumbar puncture.
Question 2 of 5
The nurse is the leader of a group of mentally retarded adults. The nurse instructs the group members to ignore another client whenever he interrupts others who are speaking. To evaluate the progress of this intervention, the nurse should
Correct Answer: A
Rationale: Counting successful non-interruptions measures the client’s behavioral improvement, the goal of the intervention. Options B, C, and D are less effective: counting interruptions tracks failures, group control is secondary, and tokens are not given for interruptions.
Question 3 of 5
A client with a family history of Huntington's disease asks the nurse for information on how the disease is transmitted. Which of the following statements indicates that she understands the nurse's teaching?
Correct Answer: A
Rationale: Huntington's disease is autosomal dominant, meaning there is a 50% (1 in 2) chance of passing the gene to each child, regardless of sex.
Question 4 of 5
The nurse is caring for a client with a history of atrial fibrillation.
Correct Answer: C
Rationale: Warfarin is the standard anticoagulant for preventing thromboembolism in atrial fibrillation, reducing stroke risk. Aspirin and clopidogrel are antiplatelets, and heparin is used short-term or in acute settings.
Extract:
A nine-year-old client with an ostomy.
Question 5 of 5
Which of the following statements, if made by the parents of a nine-year-old client with an ostomy, would indicate to the nurse that they are providing quality home care?
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-ostomy bags should be changed at least once a week; good time for stoma to be closely inspected (2) bag should be changed at least once a week or when seal around stoma is loose or leaking (3) does not encourage client participation or foster independence (4) bag should be changed more often