NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
A two-day-old infant in the newborn nursery does not appear interested in taking formula from the mother or the nurse.
Question 1 of 5
An appropriate nursing diagnosis is high risk for
Correct Answer: C
Rationale: Strategy: Think about each answer choice. (1) no information about swallowing provided with question (2) this is a medical diagnosis not a nursing diagnosis (3) correct-may become dehydrated (4) not specific for problem described
Extract:
Question 2 of 5
The nurse is reviewing procedures with the health care team. The nurse should intervene if an RN staff member makes which of the following statements?
Correct Answer: C
Rationale: physician should provide explanation and obtain patient's signature
Question 3 of 5
When describing the correct way for cleansing a wound site, the nurse understands that the wound should be cleaned:
Correct Answer: C
Rationale: Cleaning from the drainage site outward prevents spreading pathogens. Other methods risk contamination or are inappropriate.
Question 4 of 5
A child is admitted with acute glomerulonephritis. Which finding in the client's history is most consistent with the diagnosis?
Correct Answer: B
Rationale: Acute glomerulonephritis is often post-streptococcal, following pharyngitis by 1-3 weeks, due to immune complex deposition in glomeruli. Tick bites, mosquito bites, or uric acid are unrelated.
Question 5 of 5
The nurse is caring for a client with a history of chronic venous insufficiency.
Correct Answer: A
Rationale: Compression stockings improve venous return, reducing edema and stasis in chronic venous insufficiency. Bed rest is discouraged, diuretics are not primary, and head elevation is irrelevant.