NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
A six-month-old infant has had all of the required immunizations.
Question 1 of 5
The nurse knows this would include which of the following?
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-first dose of the DPT may be given at two months, the second is given around four months (2) MMR is given at 15 months (3) polio is given at two and four months and again at 12 to 18 months (4) smallpox vaccine is no longer recommended
Extract:
Question 2 of 5
The nurse is teaching a client with a new diagnosis of asthma about salmeterol (Serevent). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Tremors or shakiness indicate systemic beta-agonist effects, requiring reporting. Options A, C, and D are incorrect.
Question 3 of 5
The nurse observes that a child with muscular dystrophy has a positive Gower's sign. The nurse documents that the child:
Correct Answer: B
Rationale: A positive Gower's sign indicates the child uses their hands to push up from the floor due to muscle weakness, so B is correct. Answers A, C, and D do not describe Gower's sign.
Question 4 of 5
The nurse notes dark red blood and a few clots in the catheter of a client two days after a transurethral prostatectomy (TURP). The nurse should first:
Correct Answer: B
Rationale: The appearance of dark red blood with a few clots indicates a venous bleed. Traction to the urethral catheter and increasing the client's fluid intake should be tried first before calling the doctor. Answer A would be indicated for the client with an arterial bleed, which is characterized by the appearance of bright red blood and many clots in the catheter, so it is incorrect.
Question 5 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.