NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse's first action should be:
Correct Answer: D
Rationale: Hypotension from epidural anesthesia is treated by increasing IV fluid volume with normal saline to restore blood pressure, so D is correct. Trendelenburg is not recommended, slowing the IV would worsen hypotension, and oxygen is secondary.
Question 2 of 5
A 25-year-old man is in an acute manic episode. The nurse knows that which client behavior would be MOST characteristic of mania?
Correct Answer: A
Rationale: characteristic behaviors associated with an acute manic episode include agitation, grandiose delusions, euphoria, and concentration problems; mania is a mood of extreme euphoria and is manifested by more extreme levels of behavior
Question 3 of 5
The nurse is caring for a client receiving chemotherapy.
Correct Answer: B
Rationale: A temperature of 100.8°F indicates possible infection, a life-threatening complication in chemotherapy patients due to immunosuppression. Nausea, fatigue, and alopecia are expected side effects but less urgent.
Question 4 of 5
An adult is admitted with pernicious anemia. Which factor in the client's history is most likely related to the development of pernicious anemia?
Correct Answer: C
Rationale: Gastrectomy removes the stomach's intrinsic factor-producing cells, leading to vitamin B12 malabsorption, a primary cause of pernicious anemia.
Question 5 of 5
The parents of a child with cystic fibrosis discuss nutritional requirements and the need for vitamin supplements with the nurse. The nurse explains that it is necessary to give daily supplements of vitamins A, D, E, and K because:
Correct Answer: C
Rationale: Cystic fibrosis impairs fat absorption, leading to deficiencies in fat-soluble vitamins (A, D, E, K), necessitating supplementation.