NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
A six-year-old boy comes to the outpatient clinic for a routine exam. His mother is concerned because her son often talks to an 'imaginary best friend.'
Question 1 of 5
The nurse should advise the mother to
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) doesn't recognize play with imaginary friends as normal developmental state (2) may create anxiety in child (3) correct-normal for 4- to 6-year-old children (4) may create anxiety in child
Extract:
Question 2 of 5
A client is readmitted with a recurrent urinary tract infection. The client is to be discharged home on methenamine mandelate (Mandelamine). The nurse should instruct the client to limit intake of which of the following fluids?
Correct Answer: A
Rationale: should limit intake of alkaline foods and fluids, such as milk
Question 3 of 5
The nurse is caring for a client with a history of anxiety disorder.
Correct Answer: B
Rationale: Deep breathing exercises calm the autonomic nervous system, reducing acute anxiety effectively and non-invasively. Benzodiazepines are used cautiously, isolation increases anxiety, and high-stimulus environments worsen it.
Question 4 of 5
The physician is assessing renal function in a client with severe pancreatitis. Which laboratory finding would be the best indicator of a problem in this area?
Correct Answer: D
Rationale: Creatinine is the most specific laboratory test for renal functioning; normal is 0.5-1.5 mg/dL. Answers A and B do not relate to the kidney, so they are incorrect. Answer C can be abnormal with kidney function but is not as specific as the creatinine, so it's incorrect.
Question 5 of 5
The client asks the nurse how the health care provider could tell she was pregnant 'just by looking inside.' What is the best explanation by the nurse?
Correct Answer: A
Rationale: Chadwick's sign is a bluish-purple coloration of the cervix and vaginal walls, occurring at 4 weeks of pregnancy, that is caused by vasocongestion.