NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of multiple sclerosis.
Correct Answer: B
Rationale: Muscle weakness and spasticity are common in multiple sclerosis due to demyelination of nerve fibers. Chest pain, edema, and headaches are not typical symptoms.
Question 2 of 5
A client in the intensive care unit is overheard telling his wife, 'It's impossible to get any sleep in this place with all the noise and lights on all the time.' After talking with the client, the nurse determines that the client is bothered by sensory disturbance related to being in the ICU. Which laboratory finding would confirm the nurse's assessment of sensory disturbance?
Correct Answer: A
Rationale: Sensory disturbance and stress in the ICU increase catecholamines (e.g., epinephrine), detectable in urine. Other labs are unrelated to sensory disturbance.
Extract:
A 34-year-old multipara comes to the prenatal clinic during her fifth month of pregnancy. The client complains to the nurse that her breasts are sensitive and sore.
Question 3 of 5
Which of the following suggestions by the nurse is BEST?
Correct Answer: C
Rationale: Strategy: 'BEST' indicates priority question. All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) would increase circulation and increase discomfort, should avoid taking medications (2) not effective in decreasing discomfort (3) correct-during pregnancy there is an increase in lactiferous ducts and lobule-alveolar tissue (4) medications are to be avoided during pregnancy
Extract:
The nurse checks for placement of a nasogastric (NG) tube before beginning a tube feeding for a client.
Question 4 of 5
Which of the following results would indicate to the nurse that the tube feeding can begin?
Correct Answer: B
Rationale: Strategy: Determine how the answers relate to a tube feeding. (1) mucus may be from lungs (2) correct-stomach contents are acidic (3) not a safe way to check placement (4) not a reliable indication
Extract:
Question 5 of 5
The nurse is assessing a client with complaints of right lower quadrant pain.
Correct Answer: A
Rationale: Inspection is the first step in abdominal assessment, allowing the nurse to observe for distention, masses, or visible abnormalities before proceeding to auscultation, percussion, and palpation. Palpation last prevents discomfort that could alter other findings.