NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
The greatest threat during the immediate post-burn period results from burn shock. Which of the following statements best describes why burn shock occurs?
Correct Answer: A
Rationale: Burn shock occurs due to histamine release causing vasodilation and increased capillary permeability, leading to fluid loss from the vascular to interstitial space.
Question 2 of 5
The nurse prepares a 25-year-old woman for a cesarean section.
Correct Answer: C
Rationale: Preoperative medication for a cesarean section includes reduced amounts of narcotics to minimize respiratory depression in the newborn due to placental transfer. Sedatives and hypnotics are typically used in similar doses as in general surgery, and the overall dosage is not necessarily lower.
Question 3 of 5
The best nursing diagnosis for a client with newly diagnosed Diabetes Mellitus is:
Correct Answer: B
Rationale: Newly diagnosed diabetics need to learn about their disease, medications, glucose testing, possibly insulin injections, foot care, sick-day plans, and so forth.
Question 4 of 5
An adult had exploratory surgery and postoperatively had an exacerbation of asthma. The client is on a rebreathing mask and seems upset and angry. What is the best nursing approach?
Correct Answer: B
Rationale: Spending time with the client addresses emotional distress, calming them without medication or restraints, supporting asthma management.
Question 5 of 5
A client with tuberculosis is started on Rifampin. Which one of the following statements by the nurse would be appropriate to include in teaching? 'You may notice:
Correct Answer: A
Rationale: Discoloration of the urine and other body fluids may occur. It is a harmless response to the drug, but the patient needs to be aware it may happen.