NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 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 2 of 5
The nurse is teaching childbirth preparation classes. One woman asks about her rights to develop a birthing plan. Which response made by the nurse would be best?
Correct Answer: C
Rationale: Discussion of the provider's role and the couple's rights and limitations in selecting birth options must precede development of a plan.
Extract:
A client had a radical mastectomy for cancer in her right breast.
Question 3 of 5
After the client returns to the unit, which of the following actions, if performed by the nurse, would be MOST appropriate?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) sling is not necessary, arm needs to be elevated (2) right arm cannot be elevated from this position (3) correct-this position will facilitate removal of fluid from venous pathways and lymphatic system through gravity; arm is elevated to enhance circulation and prevent edema (4) prone position is not appropriate
Extract:
Question 4 of 5
A 34-year-old male is admitted to the hospital with a possible diagnosis of pheochromocytoma. Which of the following symptoms would the nurse not expect to see during an attack?
Correct Answer: D
Rationale: Pheochromocytoma causes catecholamine release, leading to tachycardia, not bradycardia, during an attack.
Question 5 of 5
A toddler with Tetralogy of Fallot is hospitalized with a diagnosis of pneumonia. During the nursing assessment, the child develops a hypoxic episode. The nurse should:
Correct Answer: D
Rationale: The knee-chest position increases systemic vascular resistance, reducing right-to-left shunting in Tetralogy of Fallot during hypoxia.
Toys or comforting do not address hypoxia. Supine position may worsen shunting.