NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new diagnosis of asthma about using an albuterol inhaler. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Using albuterol every 4 hours without symptoms is incorrect, as it is a rescue inhaler for acute symptoms, not maintenance. Options A, B, and D are correct: shaking ensures proper dose, holding breath maximizes absorption, and rinsing prevents oral thrush (though more relevant for steroids).
Question 2 of 5
A client who had a lumbar laminectomy has just returned to the nursing care unit following an uneventful stay in the postanesthesia care unit. How should the nurse position the client?
Correct Answer: C
Rationale: Side-lying with a pillow between legs maintains spinal alignment post-lumbar laminectomy, reducing strain. Supine or prone may stress the surgical site, and semi-reclining is less ideal.
Question 3 of 5
A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication?
Correct Answer: B
Rationale: Would you please clarify what you have written so I am sure I am reading it correctly? This is respectful and ensures patient safety.
Question 4 of 5
A client has been receiving chlorpromazine (Thorazine) 400 mg/day for four weeks. He experiences an oral temperature of 105°F (40.5°C), severe rigidity, oculogyric crisis, and severe hypertension. It is MOST important for the nurse to take which of the following actions?
Correct Answer: B
Rationale: Symptoms indicate neuroleptic malignant syndrome, a life-threatening reaction to chlorpromazine. Holding the drug and notifying staff is critical. Options A, C, and D address symptoms but not the cause.
Question 5 of 5
The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate statement for the nurse is
Correct Answer: A
Rationale: Eat a balanced diet for your age. There are no recommended additions and subtractions from the diet for acne management.