NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
The homecare nurse is visiting a young adult with a diagnosis of hepatitis A. Which of the following statements, if made by the client to the nurse, indicates that further teaching is needed?
Correct Answer: B
Rationale: Tylenol (acetaminophen) is hepatotoxic and should be avoided in hepatitis A, which impairs liver function, indicating a need for further teaching. Options A, C, and D show correct precautions to prevent oral-fecal transmission.
Question 2 of 5
The parents of a child who is in for a 1-year well-baby check ask what immunizations the child needs. The nurse checks the child's record and determines that the child has had immunizations as recommended during the first year. What should the nurse reply?
Correct Answer: C
Rationale: At 1 year, per CDC guidelines, children typically receive MMR, varicella, and HiB (final dose), assuming prior vaccinations are complete. Rotavirus, hepatitis B, polio, pneumococcal, and meningococcal are given at other ages.
Question 3 of 5
An adult who was struck by lightning is brought to the emergency department. Which action is of highest priority when the client is brought to the emergency room?
Correct Answer: A
Rationale: Lightning strikes can cause cardiac arrhythmias; obtaining an ECG is the highest priority to detect life-threatening rhythm disturbances. Gases, wounds, and electrolytes are secondary.
Question 4 of 5
A Hispanic client refuses emergency room treatment until a curandero is called. The nurse understands that this person brings what to situations of illness?
Correct Answer: A
Rationale: Holistic healing. This traditional folk practitioner uses holistic methods for illnesses, often working with traditional health care providers.
Question 5 of 5
An adult has completed an alcohol detoxification program and is being discharged with disulfiram (Antabuse). Which statement that the client makes indicates a need for more teaching?
Correct Answer: A
Rationale: Planning to drink alcohol (even minimally) while on disulfiram indicates misunderstanding, as it causes severe reactions with alcohol. Other statements show proper understanding.