NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
A client has a three-way Foley catheter following a transurethral resection.
Question 1 of 5
The nurse would anticipate infusing irrigating solution rapidly when
Correct Answer: B
Rationale: Strategy: Think about each answer choice. (1) not a reason to infuse irrigating solution rapidly (2) correct-three-way Foley catheter should be irrigated rapidly when bright-red drainage or clots are present; irrigation rate should be decreased to about 40 gtts/min when the drainage clears (3) not indication to infuse irrigating solution rapidly (4) not indication to infuse irrigating solution rapidly
Extract:
A client with posttraumatic stress disorder (PTSD).
Question 2 of 5
One of the goals the nurse and a client with posttraumatic stress disorder (PTSD) mutually agreed upon is that he will increase his participation in out-of-the apartment activities. Which of the following recommendations, if made by the nurse, will be MOST therapeutic to achieve this goal?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) reasonable recommendation to begin using in a systematic desensitization program after the crisis is alleviated (2) reasonable recommendation to begin using in a systematic desensitization program after the crisis is alleviated (3) correct-support groups of people who have suffered similar acts of violence can be helpful and supportive to teach clients how to deal with the traumatizing situation and the emotional aftermath (4) reasonable recommendation to begin using in a systematic desensitization program after the crisis is alleviated
Extract:
Question 3 of 5
Hospital staff requests that the parents with a Greek heritage of a hospitalized infant remove the amulet from around the child's neck. The parents refuse. The nurse understands that the parents may be concerned about
Correct Answer: B
Rationale: Evil eye or envy of others. In Greek culture, amulets protect against 'matiasma' or the evil eye, especially for children.
Question 4 of 5
A client with lung cancer is advised to increase the protein and kilocalorie content of his diet. Which of the following choices will best meet his need for increased protein and calories?
Correct Answer: D
Rationale: Cheese and yogurt provide high protein and calories, ideal for a client with lung cancer needing nutritional support.
Extract:
A nine-month-old child with complaints of a fever of 102.2°F (39°C) and frequent vomiting.
Question 5 of 5
The nurse would expect which of the following reflexes to still be present?
Correct Answer: A
Rationale: Strategy: Think about growth and development. (1) correct-stroking outer sole of foot upward causes toes to hyperextend and fan and great toe to dorsiflex, disappears after one year of age (2) sudden jarring causes extension and abduction of extremities and fanning of fingers with index finger and thumb forming a C shape, disappears after 3-4 months (3) when head is turned to side, arm and leg extend on that side, and opposite arm and leg flex, disappears by age 3-4 months (4) touching palms of hands or soles of feet causes flexion of hands and toes, palmar grasp disappears after 3 months of age, plantar grasp lessened by 8 months of age