NCLEX Questions, NCLEX Trainer Test 4 Questions, NCLEX-PN Questions, Nurselytic

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NCLEX Trainer Test 4 Questions

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Question 1 of 5

The nurse is caring for a four-year-old child with a closed head injury. The nurse would be reassured by which of the following observations?

Correct Answer: A

Rationale: Stating his name indicates orientation, a positive sign post-head injury. Options B, C, and D are less reassuring: reaching for a toy is nonspecific, opisthotonos suggests meningeal irritation, and withdrawal may occur in unconscious states.

Question 2 of 5

The nurse is caring for an adult who is enrolled in a study involving an experimental drug. The client says to the nurse, 'I don't think I can stand the vomiting anymore. I think it is due to the drug I am taking. If only I could get out of this study I signed up for. That was a really stupid thing I did when I signed up for the study.' What information must the nurse include when responding to the client?

Correct Answer: B

Rationale: Participants can withdraw from research studies at any time, per ethical research guidelines, ensuring autonomy and safety.

Question 3 of 5

A diabetic client asks the nurse why the provider ordered a glycosylated hemoglobin (HbA) measurement, since a blood glucose reading was just performed. You will explain to the client that the HbA test:

Correct Answer: D

Rationale: Glycosylated hemoglobin values reflect the average blood glucose (hemoglobin-bound) for the previous 2-3 months and can be used to monitor client adherence to the therapeutic regimen.

Question 4 of 5

An adult is on a clear liquid diet. Which food should the nurse offer him?

Correct Answer: D

Rationale: Apple juice is a clear liquid, appropriate for a clear liquid diet. Milkshakes and sherbet contain dairy, and fruited gelatin may have solids, making them unsuitable.

Question 5 of 5

The nurse is teaching a community group about how to prevent Lyme disease. What should be included in the teaching? Select all that apply.

Correct Answer: B,C,E

Rationale: Tucking pants into socks, wearing long clothing, and using DEET repel ticks, preventing Lyme disease. Light clothing aids tick visibility, standing water is irrelevant, and venison is safe.

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