NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
An adult man believes that someone is poisoning his food. What is the best nursing action in response to this belief?
Correct Answer: D
Rationale: Offering individually packaged food addresses the delusion non-confrontationally, reducing anxiety. Explaining, assuring, or tasting may escalate distrust.
Question 2 of 5
The nurse is receiving reports about four pregnant women in active labor who have been admitted to the labor and delivery unit. Which of the following women should the nurse see FIRST?
Correct Answer: B
Rationale: The multipara at 8 cm dilatation is in advanced labor and likely to deliver soon, making her the priority. Options A, C, and D are less urgent: transverse lie needs monitoring, nullipara at 10 cm has a longer second stage, and breech at 3 cm is early.
Extract:
The nurse is instructing a client being discharged on tranylcypromine sulfate (Parnate).
Question 3 of 5
The nurse knows further instruction is needed if the client makes which of the following statements?
Correct Answer: A
Rationale: Strategy: Determine how each answer choice relates to Parnate. (1) correct-Parnate is a MAO inhibitor; must avoid food with tyramine (aged cheese, yogurt, beer, wine) to prevent hypertensive crisis (2) sunblock required (3) no contraindication to sensible weight reduction diet (4) expected outcome of antidepressant; takes 3-4 weeks to work
Extract:
A client with a hiatal hernia.
Question 4 of 5
A nursing assessment of a client with a hiatal hernia is MOST likely to reveal
Correct Answer: D
Rationale: Strategy: Think about each answer choice. (1) suggests an inguinal hernia (2) suggests an inguinal hernia (3) pain usually does not develop during the day with an empty stomach (4) correct-classic symptom of hiatal hernia associated with reflux
Extract:
Question 5 of 5
The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks.
Correct Answer: B
Rationale: Raking leaves exposes the child to inhaled allergens like pollen and dust, which are primary asthma triggers. Playing the tuba, participating in activities, and walking are unlikely to trigger asthma unless exercise-induced, which is not indicated.