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
The nurse's neighbor complains to the nurse that he feels tired all the time. Which comment suggests to the nurse that the man may have a serious sleep disorder?
Correct Answer: A
Rationale: Snoring may indicate sleep apnea, a serious disorder causing fatigue, unlike napping, early waking, or muscle jerks, which are less concerning.
Question 3 of 5
The client with cancer of the larynx is admitted to the unit with Acute Respiratory Distress Syndrome. Which nursing diagnosis should receive priority?
Correct Answer: A
Rationale: Acute Respiratory Distress Syndrome causes severe hypoxemia, making alteration in oxygen perfusion the priority nursing diagnosis to ensure adequate oxygenation. Pain , mobility , and sensory perception are secondary in this life-threatening condition.
Question 4 of 5
The nurse believes a coworker is diverting narcotics. The nurse approaches the nurse manager to report the suspicions. Which of the following statements by the nurse is BEST?
Correct Answer: A
Rationale: Objective observations, such as increased patient pain medication needs and sleeping on duty, provide verifiable evidence for investigation. Options B, C, and D are subjective or speculative, reducing their credibility.
Question 5 of 5
The nurse is caring for an adult who has kidney stones. Which action is essential for the nurse to take?
Correct Answer: D
Rationale: Straining urine captures kidney stones for analysis, guiding treatment. Blood pressure, bed rest, or positioning are not primary.