NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
The nurse assesses delayed gross motor development in a 3 year-old child. The inability of the child to do which action confirms this finding?
Correct Answer: A
Rationale: Stand on 1 foot. Balancing on one foot is expected by age 3, indicating gross motor delay if absent.
Question 2 of 5
The nurse performs diet teaching for a client with a spinal cord injury at S-3. Which of the following meals, if chosen by the client, would indicate to the nurse that teaching has been effective?
Correct Answer: B
Rationale: Spaghetti with meat sauce and green beans is high-fiber and low-fat, preventing constipation in spinal cord injury. Options A, C, and D are higher in fat or lower in fiber.
Question 3 of 5
The nurse is to start oxygen therapy via nasal cannula. Which action is correct?
Correct Answer: D
Rationale: Inserting the cannula 1 cm into the nostrils ensures proper oxygen delivery. High flow rates, petrolatum, or mask pre-oxygenation are incorrect.
Question 4 of 5
A client has a cataract removed from the left eye. Which of the following is an important nursing intervention in the immediate postoperative period?
Correct Answer: A
Rationale: Positioning on the right side with head elevation prevents pressure on the surgical eye, reducing complications. Options B, C, and D are incorrect.
Question 5 of 5
When caring for a client with myasthenia gravis, an important nursing consideration would be to
Correct Answer: D
Rationale: client has increased muscle fatigue, needs more assistance toward end of day