NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
Decentralized scheduling is used on a nursing unit. A chief advantage of this management strategy is that it:
Correct Answer: A
Rationale: Decentralized staffing takes into consideration specific client needs and staff interests and abilities.
Question 2 of 5
The primary teaching for a client following an extracorporeal shock-wave lithotripsy (ESWL) procedure is
Correct Answer: A
Rationale: Drink 3000 to 4000 cc of fluid each day for one month.' Drinking three to four quarts (3000 to 4000 cc) of fluid each day will aid passage of fragments and help prevent formation of new calculi.
Question 3 of 5
The nurse is providing care to a newly hospitalized adolescent. What is the major threat experienced by the hospitalized adolescent?
Correct Answer: C
Rationale: The hospitalized adolescent may see each of these as a threat, but the major threat that they feel when hospitalized is the fear of altered body image, because of the emphasis on physical appearance during this developmental stage.
Question 4 of 5
The nurse is caring for a client who is postoperative day 1 after a thyroidectomy. Which of the following findings would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: A calcium level of 8.0 mg/dL indicates hypocalcemia, a serious complication post-thyroidectomy due to parathyroid damage, risking tetany or seizures. Options B, C, and D are expected: slight fever, tachycardia, and incision pain are common postoperatively.
Question 5 of 5
The nurse is administering alendronate (Fosamax) to an adult. Which instruction is necessary to give the client?
Correct Answer: C
Rationale: Alendronate can cause esophageal irritation; sitting up for 30 minutes post-dose ensures proper passage and absorption, preventing reflux. Milk, meals, or lying down increase irritation risk.