NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of myocardial infarction.
Correct Answer: A
Rationale: Avoiding heavy lifting for 6 weeks prevents cardiac strain during myocardial healing. Nitroglycerin is used for angina, gradual activity resumption is advised, and blood pressure monitoring is routine but secondary.
Question 2 of 5
A depressed client who has recently been acting suicidal is now more social and energetic than usual. Smilingly he tells the nurse 'I've made some decisions about my life.' What should be the nurse's initial response?
Correct Answer: B
Rationale: Are you thinking about killing yourself? This validates suicidal ideation to assess the seriousness of the risk.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of chronic obstructive pulmonary disease (COPD) about tiotropium (Spiriva). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Eye pain or vision changes may indicate glaucoma, a serious tiotropium side effect. Options A, C, and D are incorrect.
Question 4 of 5
The nurse is caring for a client with a history of irritable bowel syndrome.
Correct Answer: A
Rationale: Avoiding caffeine and alcohol reduces gut irritation in irritable bowel syndrome. Small, frequent meals, balanced fiber, and low-fat diets are recommended.
Question 5 of 5
The nurse manager has been using a block scheduling plan to staff the nursing unit. However, staff have asked for many changes and exceptions to the schedule over the past few months. The manager considers self-scheduling knowing that this method will
Correct Answer: D
Rationale: Nurses are more satisfied when opportunities exist for autonomy and control. Self-scheduling improves team morale by giving staff more control over their work schedules.