NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nurse is obtaining a history on a client with hyperthyroidism. The nurse should report which of the following assessments to the physician?
Correct Answer: A
Rationale: signs and symptoms of hyperthyroidism are related to an increased metabolic rate
Question 2 of 5
The nursing staff is planning to use behavior modification techniques for an elderly woman who constantly screams. Which of the following nursing assessments is necessary to establish a successful program?
Correct Answer: C
Rationale: to design an effective behavior modification program, accurate baseline data must first be collected about the target behavior in relation to frequency, amount, time, and precipitating factors
Question 3 of 5
The nurse is caring for a client with a history of type 2 diabetes who is receiving sitagliptin (Januvia) 100 mg PO daily. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: C
Rationale: Upper abdominal pain may indicate pancreatitis, a rare but serious side effect of sitagliptin, requiring immediate evaluation. Options A, B, and D are less concerning: headaches and fatigue are nonspecific, and taking with breakfast is acceptable.
Question 4 of 5
The nurse is caring for an 11-year-old girl being treated for a fractured right femur with balanced suspension traction with a Thomas ring and Pearson attachment. The physician orders 2 liters to be instilled with a dwell time of 40 minutes. The nurse measures the outflow and finds it to be 1,800 cc. During the nurse's shift, the client drinks 700 cc of fluids and voids 400 cc. The nurse should record which of the following on the client's intake and output sheet?
Correct Answer: B
Rationale: intake and output
Question 5 of 5
The nurse is teaching a client with newly diagnosed diabetes mellitus how to treat hypoglycemia at home. The nurse should instruct the client to do which of the following actions if symptoms of hypoglycemia are experienced?
Correct Answer: B
Rationale: will correct hypoglycemia and stabilize blood sugar