NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
An elderly client is admitted to the unit with a temperature of $100.2^{\circ}$, urinary specific gravity of 1.032, and a dry tongue. The nurse should anticipate an order for:
Correct Answer: D
Rationale: The symptoms (fever, high urinary specific gravity, dry tongue) indicate dehydration. IV normal saline is the priority to rehydrate. Antibiotics require infection confirmation, analgesics address pain, and diuretics worsen dehydration.
Extract:
A client administering his own insulin.
Question 2 of 5
Which observation indicates to the nurse that the client needs further teaching before he can administer his own insulin?
Correct Answer: D
Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) when mixing regular insulin with other types of insulin, the client should draw up the clear (regular) before the cloudy (NPH) (2) bottle of insulin should never be vigorously shaken, but rather gently mixed (3) imperative to rotate injection sites to avoid tissue irritation/infection and ensure proper absorption (4) correct-insulin should be administered at room temperature, temperature extremes should be avoided
Extract:
Question 3 of 5
The nurse has received her assignment for the day and is to care for the following clients. Which client should the nurse go to first?
Correct Answer: A
Rationale: The client with recent hematemesis is at risk for recurrent bleeding, requiring immediate assessment to ensure stability, prioritizing over stable surgical or presurgical clients.
Extract:
An unaccompanied client who is six months pregnant is admitted to the nursing unit with vaginal bleeding.
Question 4 of 5
Which of the following comments, if made by the client, would indicate a need for the nurse to assess the adequacy of the client's emotional support?
Correct Answer: A
Rationale: Strategy: Think about what the words mean. (1) correct-client's concern about her husband's feelings indicates that he may not be able to support her emotionally at this time (2) reflects a reality-based concern (3) indicates an economic concern (4) indicates client needs to talk about her current feelings; does not give any indication of level of emotional support
Extract:
Question 5 of 5
The nurse is caring for a client who is postoperative day 1 after a total hip replacement. Which of the following actions should the nurse prioritize?
Correct Answer: A
Rationale: Early ambulation prevents complications like thrombosis and promotes recovery. Options B, C, and D are secondary or incorrect.