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
Question 2 of 5
A client is readmitted with a recurrent urinary tract infection. The client is to be discharged home on methenamine mandelate (Mandelamine). The nurse should instruct the client to limit intake of which of the following fluids?
Correct Answer: A
Rationale: should limit intake of alkaline foods and fluids, such as milk
Question 3 of 5
Which of the following should be included in the discharge teaching of a client with a unilateral adrenalectomy?
Correct Answer: D
Rationale: Unilateral adrenalectomy may impair cortisol production, requiring lifelong steroid replacement. Skin care, dietary restrictions, and hypoglycemia are not primary concerns.
Question 4 of 5
A client admitted to the psychiatric unit claims to be the 'Son of God' and insists that he will not be confined by 'mere mortals.' The most likely explanation for the client's delusions is:
Correct Answer: C
Rationale: Delusions of grandeur, like claiming to be the 'Son of God,' often stem from low self-esteem, compensating with inflated self-perception. Religious conversion, stress, or anxiety are less likely causes.
Extract:
A low-income client needing to satisfy essential protein needs.
Question 5 of 5
Which of the following foods would the nurse encourage a low-income client to eat to satisfy essential protein needs?
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-legumes are an economical source rich in protein (2) high in protein, but more expensive to purchase (3) high in protein, but more expensive to purchase (4) high in protein, but more expensive to purchase