NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 of 5
In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust?
Correct Answer: C
Rationale: Security. Providing consistent, loving care fosters trust, a key developmental need for infants per Erikson's theory.
Question 2 of 5
The nurse is caring for a client who is in ketoacidosis. Which blood gas values are most consistent with the diagnosis?
Correct Answer: B
Rationale: Diabetic ketoacidosis causes metabolic acidosis: low pH, low HCO3, and low pCO2 due to compensatory hyperventilation.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of gout about allopurinol (Zyloprim). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping allopurinol when gout attacks stop is incorrect, as it is used long-term to prevent uric acid buildup. Options A, B, and C are correct: water prevents kidney stones, rash may indicate hypersensitivity, and food reduces GI upset.
Question 4 of 5
A client with schizophrenia is receiving Clozaril (clozapine) 150 mg twice a day. An adverse reaction to the medication is:
Correct Answer: C
Rationale: Weight gain is a common adverse reaction to clozapine, often requiring monitoring and lifestyle interventions.
Question 5 of 5
A client with MRSA is receiving Vanomycin (Vancocin) IV. If the client experiences 'red man' syndrome, the nurse should:
Correct Answer: A
Rationale: Red man syndrome is caused by rapid vancomycin infusion, leading to histamine release. Slowing the infusion and monitoring blood pressure manage symptoms. It's not normal, and discontinuing is unnecessary.