NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
A client displaying the following symptoms: elevated vital signs, hallucinations, and aggressive behavior. The client's friend says she thinks that he has been using hallucinogenic drugs.
Question 1 of 5
The appropriate nursing action would be to
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) unnecessary at this time (2) correct-symptoms will subside with time and decreased stimulation (3) unnecessary at this time (4) inappropriate
Extract:
Question 2 of 5
A postoperative client has pain medication ordered PRN for discomfort. During the first assessment, the nurse notes that the client has not received pain medication all day. His vital signs are within normal limits, but he is sweating profusely. He smiles at you while speaking and states that he is not hot but is still experiencing some pain and has been since early this morning. What is the most appropriate nursing action?
Correct Answer: B
Rationale: Administering the minimum dose and reassessing ensures effective pain management while monitoring response, given diaphoresis and reported pain.
Question 3 of 5
The mother of a 3-month-old infant tells the nurse that her child has a bumpy rash over most of his body. What is likely to be initially ordered for this child?
Correct Answer: D
Rationale: A bumpy rash in a 3-month-old suggests possible food allergies; an elimination diet is a non-invasive initial approach to identify triggers, unlike biopsy, stool, or CBC.
Question 4 of 5
The nurse is performing hypertension screening at the local grocery store. It would be MOST important for the nurse to complete which of the following tasks?
Correct Answer: C
Rationale: Two readings five minutes apart ensure accuracy in hypertension screening. Options A, B, and D are incorrect techniques.
Question 5 of 5
The nurse is teaching a client how to care for a colostomy. Which factor indicates that the client needs more instruction?
Correct Answer: B
Rationale: Irrigating while sitting on the toilet risks contamination; irrigation should be done in a controlled setting, indicating a need for further instruction.