NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
An infant is suspected of having coarctation of the aorta. Which assessment finding is most related to coarctation of the aorta?
Correct Answer: B
Rationale: Coarctation of the aorta causes aortic narrowing, leading to higher blood pressure in the upper extremities compared to the lower, a hallmark sign.
Question 2 of 5
An adult who is on an American Dietetic Association (ADA) diabetic diet tells the nurse that she will not eat the asparagus that is on her tray. What would be an appropriate substitute for the nurse to offer?
Correct Answer: A
Rationale: Broccoli, like asparagus, is a non-starchy vegetable, fitting the ADA diabetic diet's emphasis on low-glycemic foods. Corn, peas, and beets are higher in carbohydrates.
Question 3 of 5
The preoperative client is from a different country and tells the nurse that his family will be coming for a prayer service. Eighteen persons arrive and start chanting in the client's semiprivate room. What is the best response for the nurse?
Correct Answer: D
Rationale: Arranging for a private space respects cultural practices while minimizing disruption to the roommate, balancing sensitivity and practicality.
Question 4 of 5
The client with cancer has an order for Adriamycin. Which of the following untoward effects is of particular concern to the nurse?
Correct Answer: C
Rationale: Adriamycin (doxorubicin) is cardiotoxic, and dysrhythmias are a serious concern. Alopecia, fatigue, and nausea are common but less life-threatening.
Question 5 of 5
The nurse is assigned to a client who has heart failure. During the morning rounds the nurse sees the client develop sudden anxiety, diaphoresis and dyspnea. The nurse auscultates, crackles bilaterally. Which nursing intervention should be performed first?
Correct Answer: B
Rationale: Place the client in a sitting position with legs dangling. This reduces venous return, alleviating pulmonary edema symptoms.