NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
A client describing seeing snakes on the walls of his room in a psychiatric facility.
Question 1 of 5
Based on this information, the nurse should identify a nursing diagnosis of
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-reflects a pattern of impaired perception, which is supported by the data that client is having a hallucination, defined as a sensory perception for which no external stimuli exist (2) not relevant to the data (3) not relevant to the data (4) not relevant to the data
Extract:
Question 2 of 5
A client with diabetes experiences Somogyi's effect. To prevent this complication, the nurse should instruct the client to:
Correct Answer: D
Rationale: Somogyi's effect involves rebound hyperglycemia due to nighttime hypoglycemia. A bedtime snack with protein and carbohydrates prevents hypoglycemia. Options A, B, and C do not directly address this issue.
Question 3 of 5
A postoperative client has a nasogastric (NG) tube following bowel surgery. The orders read, 'acetaminophen 650 PRN for fever above 101°F.' The client has a temperature of 101.4°F. What is the most appropriate nursing action?
Correct Answer: A
Rationale: A rectal suppository is appropriate with an NG tube on suction, ensuring fever treatment without risking medication loss.
Question 4 of 5
The nurse knows that which psychosocial stage should be a priority to consider while planning care for a 20-year-old client?
Correct Answer: B
Rationale: is the stage for 19- to 35-year-olds
Extract:
A 67-year-old man for an intravenous pyelogram (IVP).
Question 5 of 5
The nurse prepares a 67-year-old man for an intravenous pyelogram (IVP). Which of the following information is MOST important for the nurse to obtain before the procedure?
Correct Answer: C
Rationale: Strategy: All answers are assessments. Determine why you would make the assessment and how it relates to the situation. (1) electrical activity of heart, not most important (2) should be NPO for 6-8 h, not most important (3) correct-involves injection of radiopaque dye, used to identify lesions and assess function, allergy to iodine is life-threatening (4) not most important