NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
An elderly client with a fractured hip is placed in Buck's traction. The primary purpose for Buck's traction for this client is:
Correct Answer: A
Rationale: Buck's traction immobilizes the hip to reduce muscle spasms, which can worsen pain and misalignment. It does not prevent surgery or bleeding and is not primarily for pain relief.
Question 2 of 5
A nurse is teaching a client about self-administration of Haldol 15 mg po hs. For which side effect/s must the client seek medical attention?
Correct Answer: B
Rationale: Muscle spasms and restlessness are side effects of Haldol.
Question 3 of 5
The client taking allopurinol (Zyloprim) should be taught to:
Correct Answer: A
Rationale: Allopurinol prevents uric acid buildup, and adequate hydration (eight glasses of water) reduces kidney stone risk. Fruits are not restricted, the drug works sooner, and purine foods should be limited.
Question 4 of 5
The registered nurse has just admitted a client with severe depression. What domain should be the priority focus as the nurse identifies the nursing diagnoses?
Correct Answer: D
Rationale: Safety. A depressed client is at acute risk for self-destructive behavior, making safety the priority.
Question 5 of 5
A transfer truck carrying toxic chemicals derails, spilling the contents and emitting toxic fumes over several miles. As a result, many of the area residents complain of nausea, vomiting, and headache. According to the agent-host model, the host is:
Correct Answer: D
Rationale: In the agent-host model, the host is the affected individual (residents). The toxic fumes are the agent, and symptoms are the outcome.