NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
A young adult immobilized for trauma to the spinal cord has periods of diaphoresis, a draining abdominal wound, and diarrhea.
Question 1 of 5
Based on the nursing assessment, an appropriate priority nursing diagnosis is
Correct Answer: B
Rationale: Strategy: Think about each answer choice. (1) constipation is not a problem because the client has diarrhea (2) correct-skin is very susceptible to breakdown because of immobility and bodily secretions; needs numerous nursing interventions to prevent this (3) not most important (4) there would be risk of fluid volume deficit due to diarrhea and secretions
Extract:
Question 2 of 5
Which of the following describes the proximodistal development in the infant?
Correct Answer: B
Rationale: Proximodistal development refers to motor control progressing from the center of the body outward, meaning infants gain control of larger muscles (arms) before finer muscles (fingers).
Question 3 of 5
The nurse is caring for a client who is receiving a continuous IV infusion of furosemide (Lasix) for heart failure. Which of the following laboratory results would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: Hypokalemia (potassium 3.0 mEq/L) is a serious complication of furosemide, increasing the risk of arrhythmias in heart failure. Options B, C, and D are normal: sodium 138 mEq/L, creatinine 1.2 mg/dL, and calcium 9.0 mg/dL do not indicate complications.
Question 4 of 5
The nurse is teaching a school-aged child and family about the use of inhalers prescribed for asthma. What is the best way to evaluate effectiveness of the treatments?
Correct Answer: B
Rationale: The peak flow meter, if used correctly, shows effectiveness of inhalants.
Extract:
A child admitted with failure to thrive has just had a positive sweat Test .
Question 5 of 5
The nurse would anticipate which of the following changes in the child's plan of care initially?
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-sweat Test is a positive finding for cystic fibrosis (2) no data in this situation to indicate that the child is having pulmonary problems (3) salt is increased in diet (4) no need for IV therapy based on the data in situation