NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of hyponatremia.
Correct Answer: A
Rationale: Administering hypertonic saline slowly corrects hyponatremia by raising serum sodium levels, preventing cerebral edema. Low-sodium diets worsen hyponatremia, fluid restriction is for hypervolemic cases, and diuretics are contraindicated.
Question 2 of 5
A 5-year-old child has been treated for sickle cell crisis. The parent asks the nurse if there is anything that can be done to prevent future crises. What should be included in the nurse's response?
Correct Answer: C
Rationale: Fevers, vomiting, and diarrhea can trigger sickle cell crisis by causing dehydration or infection, so prompt reporting allows early intervention to prevent crises.
Question 3 of 5
A 48-year-old woman is seen in the outpatient clinic for complaints of irregular menses.
Correct Answer: B
Rationale: Irregular menses in a 48-year-old woman is most likely due to menopause, as ovarian function declines between ages 45- Stress lacks supporting data, fibroids cause excessive bleeding, and tubal pregnancy typically presents with missed periods and pain.
Question 4 of 5
The physician prescribes sulfisoxazole (Gantrisin) 2 g PO qid for a client. Which of the following instructions is MOST important for the nurse to include when teaching the client about this medication?
Correct Answer: A
Rationale: Sulfisoxazole can cause crystalluria; adequate fluid intake prevents kidney stones. Options B, C, and D are less critical or incorrect.
Question 5 of 5
The nurse assessing a newborn with physiologic jaundice knows that physiologic jaundice is caused by:
Correct Answer: B
Rationale: Physiologic jaundice results from an immature liver's inability to conjugate bilirubin efficiently. Other options are unrelated to physiologic jaundice.