NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of spinal cord injury.
Correct Answer: C
Rationale: Keeping the bladder empty prevents distension, a common trigger for autonomic dysreflexia, a life-threatening hypertensive crisis in spinal cord injury. Blood pressure monitoring detects it, analgesics are irrelevant, and high-fiber diets prevent constipation.
Question 2 of 5
The nurse is caring for a client who had a cystoscopy earlier in the day. Which symptom from the client is of greatest concern to the nurse?
Correct Answer: A
Rationale: Back pain post-cystoscopy may indicate complications like renal injury or infection, requiring urgent evaluation. Hematuria (tea/pink urine) is expected, and leg cramps are less concerning.
Question 3 of 5
The nurse assesses delayed gross motor development in a 3 year-old child. The inability of the child to do which action confirms this finding?
Correct Answer: A
Rationale: Stand on 1 foot. Balancing on one foot is expected by age 3, indicating gross motor delay if absent.
Question 4 of 5
The nurse is caring for a client with a complete heart block. The nurse should question which of the following orders?
Correct Answer: A
Rationale: Lidocaine suppresses ventricular activity, which could worsen complete heart block by reducing the ventricular escape rhythm. Options B, C, and D are appropriate: atropine increases heart rate, pacemakers treat persistent bradycardia, and isoproterenol supports severe bradycardia.
Question 5 of 5
A client receiving HTZ (hydrochlorothiazide) is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is:
Correct Answer: D
Rationale: Hydrochlorothiazide is a diuretic that can cause potassium loss. Bananas are high in potassium, making them the best choice. Pears , apples , and oranges have less potassium.