NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of systemic lupus erythematosus.
Correct Answer: B
Rationale: Fever and joint pain are common in systemic lupus erythematosus due to autoimmune inflammation. Chest pain may occur with pericarditis, but weight gain and headaches are less specific.
Question 2 of 5
The nurse is caring for a client who is postoperative day 1 after a thyroidectomy. Which of the following actions is the PRIORITY?
Correct Answer: A
Rationale: Monitoring for neck swelling is the priority to detect hematoma, a life-threatening complication post-thyroidectomy that can cause airway obstruction. Options B, C, and D are important but secondary: pain management, respiratory exercises, and incision checks follow airway safety.
Question 3 of 5
The nurse is using Naegel's Rule to estimate the expected date of delivery. The correct method of determining date of delivery is to:
Correct Answer: C
Rationale: Naegel's Rule calculates the expected delivery date by subtracting 3 months and adding 7 days to the first day of the last menstrual period.
Question 4 of 5
The nasogastric tube of a post-op gastrectomy client has stopped draining greenish liquid. The nurse should
Correct Answer: B
Rationale: Irrigate it as ordered with normal saline. Nasogastric tubes are only irrigated with normal saline to maintain patency.
Question 5 of 5
A terminally ill client says to the nurse, 'Do you believe in heaven?' How should the nurse respond?
Correct Answer: C
Rationale: Reflecting the question back encourages the client to share beliefs, fostering spiritual discussion. Sharing personal beliefs, withholding, or redirecting are less therapeutic.