NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
A client with symptoms supportive of a diagnosis of Guillain-Barré syndrome.
Question 1 of 5
The nurse knows that which of the following symptoms would be supportive of a diagnosis of Guillain-Barré syndrome?
Correct Answer: B
Rationale: Strategy: All parts of the answer choice must be correct in order for the answer to be correct. (1) relates to a CVA (2) correct-classic symptoms include respiratory failure and flaccidity due to paralysis of the muscles and urinary retention due to loss of sensation (3) relates to pulmonary edema (4) relates to peripheral nerve problems
Extract:
An unaccompanied client who is six months pregnant is admitted to the nursing unit with vaginal bleeding.
Question 2 of 5
Which of the following comments, if made by the client, would indicate a need for the nurse to assess the adequacy of the client's emotional support?
Correct Answer: A
Rationale: Strategy: Think about what the words mean. (1) correct-client's concern about her husband's feelings indicates that he may not be able to support her emotionally at this time (2) reflects a reality-based concern (3) indicates an economic concern (4) indicates client needs to talk about her current feelings; does not give any indication of level of emotional support
Extract:
A client is admitted to the neurology unit for a myelogram.
Question 3 of 5
It would be MOST important for the nurse to ask which of the following questions?
Correct Answer: A
Rationale: Strategy: Think about each answer choice and how it relates to a myelogram. (1) correct-dye is injected into subarachnoid space before an x-ray of spinal cord and vertebral column to assist in identifying spinal lesions; if client is allergic to dye, there is a major safety issue (2) important that client drink extra fluids after the Test to replace the CSF lost during Test (3) appropriate for magnetic resonance imaging (MRI) (4) obtain history of medication that can lower seizure threshold (phenothiazines, neuroleptics)
Extract:
Question 4 of 5
The nurse is caring for a neonate with an infection. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: D
Rationale: A respiratory rate of 65 at rest (normal 30–50) indicates tachypnea, suggesting sepsis or hypoxia. Options A, B, and C are less concerning.
Question 5 of 5
A woman who was recently widowed says to the nurse, 'I just can't believe he's gone. Sometimes I even think I see him standing there.' What does this comment indicate about the client?
Correct Answer: A
Rationale: Disbelief and transient perceptions of the deceased are normal in early grief. Hallucinations, illusions, or depression require more persistent or severe symptoms.