NCLEX Questions, NCLEX Trainer Test 8 Questions, NCLEX-PN Qu

Extract:

Question 1 of 5

The nurse is working at a student health clinic at a large university. Which of the following signs and symptoms would cause the nurse to suspect cocaine abuse in a 20-year-old college student?

Correct Answer: D

Rationale: Insomnia, rhinorrhea, and facial pain are associated with cocaine inhalation, the most common administration route. Options A, B, and C are less specific: A suggests infection, B indicates GI issues, and C could apply to other substances.

Question 2 of 5

Which of the following describes the proximodistal development in the infant?

A. The infant is able to raise his head before he is able to sit. B. The infant can control movements of his arms before he can control movements of his fingers. C. The infant responds to pain with his whole body before he can localize pain. D. The infant is able to make rudimentary vocalizations before using spoken words.

Correct Answer: B

Rationale: Proximodistal development refers to motor control progressing from the center of the body outward, meaning infants gain control of larger muscles (arms) before finer muscles (fingers).

Extract:

The triage nurse for a women's health center receives a phone call from each of the following women.

Question 3 of 5

Which woman should be directed to come to the health care facility IMMEDIATELY?

A. A multipara woman who is four weeks pregnant and reporting unilateral, dull abdominal pain. B. A primipara woman who is seven weeks pregnant and reporting an increase in whitish vaginal secretions. C. A primigravida woman who is five weeks gestation and is having vaginal spotting and some cramping. D. A multigravida woman who is six weeks pregnant and reporting frank, red vaginal bleeding with moderate cramps.

Correct Answer: A

Rationale: Strategy: Determine the least stable client. (1) correct-needs to be evaluated for an ectopic pregnancy (2) expect during first trimester of pregnancy (3) symptomatic of threatened abortion; instruct to decrease activity (4) symptoms of spontaneous abortion; instruct client to save and count pads

Extract:

A client recently diagnosed with insulin-dependent diabetes mellitus (IDDM). As part of the treatment plan, the client receives Humulin N 32 units and Humulin R 8 units each morning.

Question 4 of 5

Which of the following actions, if performed by the client while preparing the morning insulin injection, would require an intervention by the nurse?

A. After the client draws up 8 units of Humulin R, she adds Humulin N to the syringe for a total of 40 units. B. The client draws up 32 units of the clear insulin followed by 8 units of cloudy insulin for a total of 40 units. C. Initially, the client injects air into the Humulin N vial without drawing up any insulin. D. The client injects air into each bottle of insulin equal to the amount of insulin to be withdrawn.

Correct Answer: B

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) clear insulin always drawn up first (2) correct-Humulin R is clear and drawn up first, only 8 units are ordered, Humulin N is cloudy (3) allows you to withdraw medication later (4) allows you to withdraw medication later

Extract:

Question 5 of 5

The nurse is caring for a client with a history of epilepsy who is receiving carbamazepine (Tegretol) 200 mg PO bid. Which of the following laboratory results would be of GREATest concern to the nurse?

A. White blood cell count of 3,000/mm^3. B. Sodium 140 mEq/L. C. Potassium 4.0 mEq/L. D. Hemoglobin 13 g/dL.

Correct Answer: A

Rationale: A white blood cell count of 3,000/mm^3 indicates leukopenia, a serious side effect of carbamazepine, increasing infection risk and requiring immediate evaluation. Options B, C, and D are normal: sodium 140 mEq/L, potassium 4.0 mEq/L, and hemoglobin 13 g/dL do not indicate complications.