NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
The nurse is caring for a 10 year-old child who has just been diagnosed with diabetes insipidus. The parents ask about the treatment prescribed, vasopressin. What is priority in teaching the child and family about this drug?
Correct Answer: A
Rationale: Diabetes insipidus results from reduced secretion of the antidiuretic hormone, vasopressin. The child will need to administer daily injections of vasopressin, and should have the nasal spray form of the medication readily available. A medical alert tag should be worn.
Question 2 of 5
A new nurse manager is responsible for interviewing applicants for a staff nurse position. Which interview strategy would be the best approach?
Correct Answer: C
Rationale: Obtain an interview guide from human resources for consistency in interviewing each candidate. An interview guide used for each candidate enables the nurse manager to be more objective in the decision making. The nurse should use resources available in the agency before attempts to develop one from scratch. Certain personal questions are prohibited, and HR can identify these for novice managers.
Question 3 of 5
A woman is admitted to the labor and delivery unit in a sickle cell crisis.
Correct Answer: C
Rationale: Adequate hydration is the highest priority in sickle cell crisis to prevent further sickling of red blood cells and improve blood flow, reducing the risk of complications. Oxygen, repositioning, and antibiotics may be supportive but are not the primary intervention.
Extract:
After abdominal surgery, a client is admitted from the recovery room with intravenous fluid infusing at 100 cc/h. One hour later, the nurse finds the clamp wide open and notes that the client has received 850 cc.
Question 4 of 5
The nurse would be MOST concerned by which of the following?
Correct Answer: D
Rationale: Strategy: 'MOST concerned' indicates a complication. (1) CVP is normal, and bradycardia is incorrect (2) does not contain information relevant to fluid overload (3) does not contain information relevant to fluid overload (4) correct-indicate cardiovascular fluid overload
Extract:
Question 5 of 5
The nurse is caring for a client with a history of diverticulitis.
Correct Answer: A
Rationale: A low-fiber diet during acute diverticulitis episodes reduces bowel irritation. High-fiber is used for prevention, dairy is not restricted, and fluids are encouraged.