NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
Docusate sodium (Colace) is ordered for an adult who had a myocardial infarction yesterday. The client asks the nurse why docusate sodium is prescribed. The nurse's response should include which information?
Correct Answer: D
Rationale: Docusate sodium is a stool softener, reducing straining during bowel movements, which decreases cardiac strain post-MI.
Question 2 of 5
The nurse is caring for a client with possible cervical cancer. What clinical data would the nurse most expect to find in the client's history?
Correct Answer: A
Rationale: Postcoital vaginal bleeding is a hallmark symptom of cervical cancer due to tumor involvement of the cervix. Nausea, vomiting, foul-smelling discharge, and hyperthermia may occur in advanced stages or infections but are less specific, so B, C, and D are incorrect.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of gastroesophageal reflux disease (GERD) about omeprazole (Prilosec). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Diarrhea may indicate Clostridium difficile infection, a serious omeprazole side effect. Options A, C, and D are incorrect: morning dosing is preferred, stopping the medication risks relapse, and it can be taken with meals.
Question 4 of 5
The nurse is supervising the staff providing care for an 18-month-old hospitalized with hepatitis A.
Correct Answer: A
Rationale: Hepatitis A requires contact precautions for diapered or incontinent patients, including a private room to prevent transmission. Removing toys risks spreading contamination, high-fat snacks are inappropriate, and standard precautions alone are insufficient.
Question 5 of 5
The nursing care plan for a toddler diagnosed with Kawasaki disease (mucocutaneous lymph node syndrome) should be based on the high risk for development of which problem?
Correct Answer: D
Rationale: Coronary artery aneurysms. Kawasaki disease can lead to inflammation and aneurysms in coronary arteries.