NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the nurse perform first?
Correct Answer: B
Rationale: Place the child on its side. Protecting the airway is the top priority in a seizure to ensure a patent airway and oxygenation.
Question 2 of 5
A client with a total knee replacement returns from surgery. Which finding requires immediate nursing intervention?
Correct Answer: B
Rationale: A 90° flexion setting on the CPM machine is too aggressive post-surgery, risking injury, and requires immediate adjustment. Drainage , non-ambulation , and spasms are expected or less urgent.
Extract:
A client is currently hospitalized with renal failure and has 3+ pitting edema of the lower extremities.
Question 3 of 5
Which of the following nursing observations would indicate a therapeutic response to therapy for the edema?
Correct Answer: D
Rationale: Strategy: Determine how each answer choice relates to edema. (1) no relation to edema (2) no relation to edema (3) urine specific gravity may be decreased as client begins to lose some edema fluid (4) correct-edema is a result of sodium and fluid retention; weight loss should occur if therapy is effective
Extract:
Question 4 of 5
An adult is hospitalized for heart failure. Hydrochlorothiazide and digoxin are prescribed. What laboratory test(s) should the nurse monitor because the client is taking these medications?
Correct Answer: D
Rationale: Hydrochlorothiazide and digoxin can cause electrolyte imbalances (e.g., hypokalemia), increasing digoxin toxicity risk, necessitating serum electrolyte monitoring.
Question 5 of 5
A client whose father died from Huntington's chorea asks what the chances are that he will develop the disease. The nurse knows that the chances of the client developing the disease are:
Correct Answer: B
Rationale: Huntington's disease is autosomal dominant; with one affected parent, the client has a 50% chance of inheriting the gene and developing the disease.