NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
A nursing assistant states that her five-year-old child has developed chickenpox.
Question 1 of 5
It would be MOST important for the nurse to ask which of the following questions?
Correct Answer: C
Rationale: Strategy: 'MOST important' indicates there may be more than one answer that you would like to select. Remember, you can only ask one question. (1) chickenpox spread by direct contact, airborne route; not the most important question (2) fever, malaise, and anorexia occur during first 24 hours; treat with Tylenol (3) correct-need to ascertain if staff has had the disease; if not, VZIG can be given; exclude from patient care from the 10th day after first exposure through the 21st day (28th day if VZIG given) after last exposure (4) important information, but assessing staff is most important
Extract:
Question 2 of 5
A client receiving Gentamycin (garamycin) IVPB has a morning peak level of 12 μg/mL. The nurse should:
Correct Answer: A
Rationale: The nurse should notify the physician because the level is too high (therapeutic range for Garamycin is 4-10 μg/mL). Answers B and C are incorrect because they would increase the peak level. Answer D refers to the time for drawing a trough level, making it incorrect.
Question 3 of 5
The nurse is caring for a client with a history of osteoporosis.
Correct Answer: A
Rationale: Weight-bearing exercises strengthen bones, reducing fracture risk in osteoporosis. Vitamin C is less critical than calcium and vitamin D, calcium restriction worsens bone loss, and bed rest increases bone resorption.
Question 4 of 5
The nurse is caring for a client with a history of meningitis.
Correct Answer: B
Rationale: Droplet precautions are required for bacterial meningitis (e.g., Neisseria meningitidis) to prevent transmission via respiratory secretions. Standard precautions are insufficient, and contact or airborne precautions are incorrect.
Question 5 of 5
The nurse is caring for a client with a history of pancreatitis.
Correct Answer: B
Rationale: A low-fat, high-protein diet reduces pancreatic stimulation and supports tissue repair in chronic pancreatitis. High-fat diets exacerbate symptoms, and carbohydrate balance is less critical.