NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
A 28-year-old woman at 39-weeks gestation in active labor screams, 'I have to push, I have to push.' The nurse notes that the client is 8 cm dilated.
Question 1 of 5
The nurse should
Correct Answer: D
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) pushing should be discouraged until the second stage of labor (2) would increase discomfort (3) is inappropriate at this time; this is a short, intense period of labor (4) correct-describes transition phase of labor, breathing technique allows patient to control pain and urge to push and promotes adequate oxygenation of fetus
Extract:
A client with a gastric ulcer compared to a friend's duodenal ulcer.
Question 2 of 5
The nurse's response should be based on which of the following statements?
Correct Answer: B
Rationale: Strategy: Think about each answer choice. (1) refers to duodenal ulcers (2) correct-clients with duodenal ulcers experience pain after meals, e.g., midmorning and midafternoon (3) gastric ulcer clients may be malnourished because food may cause nausea or vomiting (4) antacids are given to duodenal ulcer clients
Extract:
Question 3 of 5
A woman who was recently diagnosed with multiple myeloma says to the nurse, 'Why did this happen to me? I've always been a good person. What did I do to deserve this?' What should the nurse do initially?
Correct Answer: C
Rationale: Acknowledging the client's emotional distress validates her feelings, fostering therapeutic communication. Other responses dismiss or redirect her concerns.
Question 4 of 5
Delirium tremens could best be described as
Correct Answer: C
Rationale: An excited state accompanied by disorientation, hallucination and tachycardia. Delirium tremens involves severe withdrawal symptoms, including confusion, hallucinations, and autonomic hyperactivity.
Question 5 of 5
The nurse is caring for a client with a history of diverticulitis.
Correct Answer: A
Rationale: A low-fiber diet during acute diverticulitis episodes reduces bowel irritation. High-fiber is used for prevention, dairy is not restricted, and fluids are encouraged.