NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
The nurse is assigned to care for a client who had a myocardial infarction (MI) 2 days ago. The client has many questions about this condition. What area is a priority for the nurse to discuss at this time?
Correct Answer: A
Rationale: At 2 days post-MI, the client's education should be focused on the immediate needs and concerns for the day.
Extract:
A client with multiple sclerosis.
Question 2 of 5
The nurse is performing discharge teaching on a client with multiple sclerosis. It is MOST important for the nurse to include which of the following instructions?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) client is encouraged to ambulate as tolerated (2) correct-overexposure to heat or cold may cause damage related to the changes in sensation (3) client is encouraged to participate in an exercise program to include ROM, stretching, and strengthening exercises (4) client is encouraged to continue usual activities as much as possible, including social activities
Extract:
A client who is receiving a tube feeding around the clock.
Question 3 of 5
Which of the following nursing actions is MOST appropriate?
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-there is an increased growth of organisms after four hours (2) inappropriate due to increased organism growth (3) inappropriate due to increased organism growth (4) not a necessary action to maintain asepsis
Extract:
Question 4 of 5
The nurse is caring for a client in the outpatient clinic who is four months pregnant.
Correct Answer: A
Rationale: Intermittent nausea in the second trimester (four months) is abnormal, as morning sickness typically resolves by the end of the first trimester, and may indicate complications like hyperemesis gravidarum or other issues requiring evaluation. Vaginal discharge, breast tenderness, and frequent urination are normal pregnancy symptoms.
Extract:
An unaccompanied client who is six months pregnant is admitted to the nursing unit with vaginal bleeding.
Question 5 of 5
Which of the following comments, if made by the client, would indicate a need for the nurse to assess the adequacy of the client's emotional support?
Correct Answer: A
Rationale: Strategy: Think about what the words mean. (1) correct-client's concern about her husband's feelings indicates that he may not be able to support her emotionally at this time (2) reflects a reality-based concern (3) indicates an economic concern (4) indicates client needs to talk about her current feelings; does not give any indication of level of emotional support