NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD).
Correct Answer: C
Rationale: Pursed-lip breathing prolongs exhalation, reducing air trapping and improving oxygenation in COPD. High-protein diets are beneficial but secondary, high-flow oxygen risks CO2 retention, and supine positioning impairs breathing.
Extract:
A client is currently hospitalized with renal failure and has 3+ pitting edema of the lower extremities.
Question 2 of 5
Which of the following nursing observations would indicate a therapeutic response to therapy for the edema?
Correct Answer: D
Rationale: Strategy: Determine how each answer choice relates to edema. (1) no relation to edema (2) no relation to edema (3) urine specific gravity may be decreased as client begins to lose some edema fluid (4) correct-edema is a result of sodium and fluid retention; weight loss should occur if therapy is effective
Extract:
Question 3 of 5
A client is going to have an endoscopy performed. Which of the following is not a probable reason for an endoscopy procedure?
Correct Answer: B
Rationale: Bowel movement pain should be examined with a colonoscopy not an endoscopy.
Question 4 of 5
The nurse is planning care for a client with a diagnosis of paranoid schizophrenia. The nurse knows that questioning the client about his false ideas will
Correct Answer: A
Rationale: contraindicated; encourages patient to engage in further distortion of reality
Extract:
A client is scheduled for a traditional abdominal cholecystectomy.
Question 5 of 5
Which of the following statements, if made by the nurse to the client the night before surgery, is MOST important?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each implementation. Is it desired? (1) not most important initially, teaching should be done before discharge (2) correct-should be done every two hours to prevent respiratory complications, splinting prevents abdominal jarring (3) PCA pumps used postoperative but medication is administered intermittently (4) NG tube used to drain stomach, T-tube used to drain common bile duct