NCLEX-PN
NCLEX PN Test Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a transsphenoidal hypophysectomy and developed diabetes insipidus. Which of the following findings would the nurse expect to observe? Select all that apply.
Correct Answer: A,B,C
Rationale: Diabetes insipidus results from antidiuretic hormone deficiency, causing excessive thirst, increased dilute urine output, and increased serum osmolality due to water loss. Serum sodium may increase, not decrease, and urine specific gravity is low due to dilute urine.
Question 2 of 5
The nurse is providing diversional activities for a 4-year-old client who is on long-term, strict bed rest. Which of the following toys would be most appropriate to provide for the client?
Correct Answer: C
Rationale: Soap bubbles are safe, engaging, and can be used while on strict bed rest, promoting activity without physical exertion. Card and board games may require setup or movement, and a medical kit may cause anxiety.
Question 3 of 5
An adult who is hospitalized with congestive heart failure is receiving an intravenous infusion. The nurse is checking the IV. Which of the following is of greatest concern to the nurse?
Correct Answer: A
Rationale: The insertion site is critical to assess for infection, infiltration, or phlebitis, the greatest concern to prevent IV complications in heart failure.
Question 4 of 5
A newborn is having difficulty maintaining a temperature above 98 degrees Fahrenheit and has been placed in an incubator. Which action is a nursing priority?
Correct Answer: B
Rationale: Monitor the neonate's temperature. When using a warming device the neonate's temperature should be continuously monitored for undesired elevations. The use of heat lamps is not safe as there is no way to regulate their temperature. Warming medications and fluids is not indicated. While touching with cold hands can startle the infant it does not pose a safety risk.
Question 5 of 5
The most suitable diet for the client with Meniere's disease is:
Correct Answer: B
Rationale: A low sodium diet and nicotinic acid have been shown to be effective in reducing the symptoms of Meniere's disease. Answers A, C, and D are incorrect because they do not relieve the symptoms of Meniere's disease.