NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of cirrhosis.
Correct Answer: C
Rationale: Asterixis and confusion indicate hepatic encephalopathy, a life-threatening complication of cirrhosis due to ammonia buildup, requiring immediate intervention. Ascites, jaundice, and melena are concerning but less acute.
Question 2 of 5
Which assessment is most essential before administering digoxin to an adult?
Correct Answer: B
Rationale: Taking an apical pulse ensures the heart rate is above 60 bpm, as digoxin can cause bradycardia, a critical safety check.
Question 3 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD).
Correct Answer: B
Rationale: Chronic COPD causes CO2 retention, leading to a compensated respiratory acidosis with low pH (7.32), high PaCO2 (50 mmHg), and low PaO2 (70 mmHg) due to impaired gas exchange. Normal or acute values are incorrect.
Question 4 of 5
A Hispanic client in the postpartum period refuses the hospital food because it is 'cold.' The best initial action by the nurse is to
Correct Answer: B
Rationale: Ask the client what foods are acceptable or are unacceptable. Understanding cultural food preferences ensures appropriate dietary support.
Question 5 of 5
The charge nurse is planning assignments on a medical unit. The client with should be assigned to the unlicensed assistive personnel (UAP).
Correct Answer: B
Rationale: The UAP can be assigned routine tasks which have predictable outcomes, such as administering enemas.