NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
The nurse is planning care for an adult who has myasthenia gravis. What should be included in the care plan?
Correct Answer: B
Rationale: Myasthenia gravis causes muscle weakness, risking aspiration; checking gag and swallowing reflexes before eating ensures safety, unlike bathing or activity timing.
Question 2 of 5
A client with a reactive depression has the greaTest chance of success in activities that require psychic and physical energy if the nurse schedules activities in the
Correct Answer: A
Rationale: client with reactive depression has the highest level of physical and psychic energy in the morning
Question 3 of 5
The nurse is administering terbutaline (Brethine) to a client in labor.
Correct Answer: A
Rationale: Terbutaline causes maternal tachycardia, and a pulse of 144 indicates a significant side effect. Withholding the medication is the priority to prevent further complications like pulmonary edema. Reducing the dose, administering, or delaying without action is unsafe.
Question 4 of 5
The nurse assesses an 18-month-old child brought to the well child clinic for a routine check-up. Which finding would be of most concern to the nurse?
Correct Answer: C
Rationale: Dropping objects handed to him suggests motor or neurological issues at 18 months, requiring evaluation. Creeping , not being toilet trained , and stranger anxiety are normal.
Question 5 of 5
Which one of the following rights is included in the Patient's Bill of Rights?
Correct Answer: C
Rationale: The Patient's Bill of Rights includes the right to confidentiality. Continuity, privacy, and advance directives are important but not explicitly listed as primary rights.