NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 of 5
During the development of a nursing care plan, the nurse should consider which of the following clients for the use of a restraint?
Correct Answer: C
Rationale: arm restraints are necessary to prevent infant from rubbing or otherwise disturbing suture line
Extract:
A client has returned to the floor from thyroidectomy surgery.
Question 2 of 5
After a client has returned to the floor from thyroidectomy surgery, it is MOST important for the nurse to take which of the following actions?
Correct Answer: C
Rationale: Strategy: Answers are a mix of assessments and implementations. Does this situation require assessment? Yes. Determine what assessment is being made in each answer choice. (1) assessment is not specific to this surgery (2) assessment, method used to monitor for postoperative hemorrhage in a tonsillectomy client (3) correct-assessment, after surgery, swelling can occur, which causes respiratory distress (4) implementation, head of the bed should be elevated
Extract:
Question 3 of 5
The nurse is teaching a client with a new diagnosis of hyperthyroidism about methimazole (Tapazole). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping methimazole when feeling better is incorrect, as hyperthyroidism requires prolonged treatment to achieve euthyroid status. Options A, B, and C are correct: sore throat may indicate agranulocytosis, food reduces GI upset, and avoiding iodized salt prevents thyroid stimulation.
Question 4 of 5
The nurse is caring for a client who is postoperative day 1 after a cesarean section. Which of the following findings would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: A temperature of 100.8°F suggests infection, such as endometritis, a serious complication post-cesarean section requiring immediate evaluation. Options B, C, and D are expected: incision pain, lochia rubra, and urine output 50 mL/hour are normal on day 1.
Question 5 of 5
The nurse is assessing a client who may be bulimic. What objective finding indicates bulimia?
Correct Answer: B
Rationale: Loss of tooth enamel from frequent vomiting is an objective sign of bulimia, distinguishing it from subjective emotional symptoms.