NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
The nurse admits a client newly diagnosed with hypertension. What is the best method for assessing the blood pressure?
Correct Answer: B
Rationale: In both arms. This ensures accuracy, as stenosis in one subclavian artery could cause a false reading.
Question 2 of 5
A man who had a cerebrovascular accident has expressive aphasia. Which approach will help communication the most?
Correct Answer: C
Rationale: Encouraging speech practice aids communication recovery in expressive aphasia, fostering independence. Writing, anticipating needs, or relying on family are less effective.
Extract:
A client with a twenty-five-year history of alcohol abuse is seen in the outpatient clinic for treatment of chronic cirrhosis.
Question 3 of 5
Which of the following symptoms would suggest to the nurse that the client is in the early stages of hepatic encephalopathy?
Correct Answer: B
Rationale: Strategy: Determine how each answer choice relates to hepatic encephalopathy. (1) ascites is symptom of cirrhosis (2) correct-impaired thought processes is early symptom (3) hyperventilation and stupor is late symptom (4) decerebrate/decorticate posturing late symptom
Extract:
Question 4 of 5
When a client is having a general tonic clonic seizure, the nurse should
Correct Answer: B
Rationale: Place the client on their side. This position maintains a patent airway and prevents aspiration.
Question 5 of 5
The nurse’s INITIAL priority when managing a physically assaultive client is to
Correct Answer: C
Rationale: Restoring the client’s self-control is the initial priority to ensure safety and prevent escalation. This involves assessing the situation, using psychological or chemical interventions, and possibly physical control. Room restriction, supervision, or clearing the area are secondary or impractical during rapid escalation.