NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
The nurse is planning care for a client with a long history of smoking and newly diagnosed chronic obstructive pulmonary disease (COPD). Which of the following should the nurse include in the client's teaching plan?
Correct Answer: A
Rationale: Clients with COPD are at high risk for respiratory infections, which can exacerbate symptoms. Avoiding large crowds during winter reduces exposure to viruses. Options B, C, and D are less relevant: air conditioning is not essential, nasal breathing is not specific, and large meals can cause dyspnea due to gastric pressure.
Question 2 of 5
The nurse is teaching parents about the appropriate diet for a 4 month-old infant with gastroenteritis and mild dehydration. In addition to oral rehydration fluids, the diet should include
Correct Answer: A
Rationale: The usual diet for a young infant should be followed.
Extract:
A client is scheduled for a myelogram at the outpatient clinic.
Question 3 of 5
Which of the following statements, if made by the nurse, correctly describes a myelogram?
Correct Answer: C
Rationale: Strategy: Determine how each answer choice relates to a myelogram. (1) x-ray examination cannot determine the extent of myelin breakdown (2) no such procedure (3) correct-contrast medium or air is injected into spinal subarachnoid space through a spinal puncture, identifies tumors, cysts, herniated vertebral discs (4) no such procedure
Extract:
Question 4 of 5
The nurse is caring for a client with a history of chronic pain.
Correct Answer: B
Rationale: A pain management program (e.g., cognitive-behavioral therapy, physical therapy) addresses chronic pain holistically, improving function and coping. PRN analgesics are less effective long-term, activity is encouraged, and ice is condition-specific.
Question 5 of 5
The client says to the nurse, 'I don't see why I should live any longer.' How should the nurse respond initially?
Correct Answer: B
Rationale: Expressing a desire to not live suggests suicidal ideation; directly asking about suicide assesses risk and guides intervention. Exploring reasons, affirming life, or highlighting positives are secondary.