NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of hyperthyroidism.
Correct Answer: B
Rationale: Tremors and heat intolerance are classic symptoms of hyperthyroidism due to increased metabolism. Bradycardia, weight gain, fatigue, and constipation are associated with hypothyroidism.
Extract:
A client who has been treated for syphilis.
Question 2 of 5
In preparing discharge plans for a client who has been treated for syphilis, it is MOST important for the community health nurse to include which of the following information?
Correct Answer: B
Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) not effective in the prevention of transmission of sexually transmitted diseases (2) correct-practice of safe sex, e.g., use of condoms, is primary prevention for transmission of sexually transmitted diseases (3) not as effective in the prevention of transmission of sexually transmitted diseases (4) not as effective in the prevention of transmission of sexually transmitted diseases
Extract:
Question 3 of 5
The nurse is monitoring the fluid status of a 63-year-old woman receiving IV fluids following surgery.
Correct Answer: B
Rationale: Fluid volume overload is characterized by symptoms such as a bounding pulse, elevated blood pressure, respiratory crackles (due to pulmonary edema), and distended neck veins. Cool skin and respiratory crackles with a bounding pulse are indicative of this condition. The other options suggest dehydration, non-specific symptoms, or normal findings unrelated to fluid overload.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of glaucoma about latanoprost (Xalatan). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping latanoprost when vision improves is incorrect, as glaucoma requires lifelong treatment to prevent optic nerve damage. Options A, B, and C are correct: bedtime dosing is standard, eye pain may indicate complications, and avoiding rubbing prevents irritation.
Question 5 of 5
An adult client who had major abdominal surgery is returned to her room on the surgical nursing unit. The postanesthesia nurse reports that the client is awake and has stable vital signs. She has a nasogastric tube in place that is attached to intermittent suction. How should the nurse position the client?
Correct Answer: B
Rationale: Semi-sitting facilitates breathing, reduces aspiration risk with a nasogastric tube, and promotes comfort post-abdominal surgery. Supine or dorsal recumbent increases aspiration risk, and prone is contraindicated.