NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
Question 1 of 5
The nurse is teaching home care to the parents of a child with acute spasmodic croup. The most important aspects of this care is/are
Correct Answer: C
Rationale: humidified air and increased oral fluids. The most important aspects of home care for a child with acute spasmodic croup are humidified air and increased oral fluids. Moisture soothes inflamed membranes. Adequate systemic hydration aids in mucociliary clearance and keeps secretions thin, white, watery, and easily removed with minimal coughing.
Question 2 of 5
The nurse is caring for a client with a history of alcoholism.
Correct Answer: A
Rationale: A serum potassium of 3.2 mEq/L indicates hypokalemia, a life-threatening complication in chronic alcoholism due to poor nutrition and diuretic effects of alcohol, risking arrhythmias. Elevated AST reflects liver damage, but hypokalemia is more immediately dangerous.
Question 3 of 5
The nurse is caring for a client receiving intravenous nitroglycerin for acute angina. What is the most important assessment during treatment?
Correct Answer: D
Rationale: The vasodilatation that occurs as a result of this medication can cause profound hypotension. The client's blood pressure must be evaluated every 15 minutes until stable and then every 30 minutes to every hour.
Question 4 of 5
The nurse is caring for a client with a history of diabetes insipidus.
Correct Answer: B
Rationale: Polyuria and thirst result from diabetes insipidus due to insufficient antidiuretic hormone, leading to excessive water loss. Weight gain, edema, hypotension, and hyperglycemia are unrelated.
Question 5 of 5
A 38-year-old woman, mother of two, has a mastectomy for breast cancer.
Correct Answer: B
Rationale: Frequent crying and difficulty coping one month post-mastectomy reflect a normal grieving process for the loss of a body part. Helping family cope is premature, social withdrawal indicates abnormal adjustment, and immediate return to normal activities suggests denial, which is too early for integration.