NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
A child admitted with failure to thrive has just had a positive sweat Test .
Question 1 of 5
The nurse would anticipate which of the following changes in the child's plan of care initially?
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-sweat Test is a positive finding for cystic fibrosis (2) no data in this situation to indicate that the child is having pulmonary problems (3) salt is increased in diet (4) no need for IV therapy based on the data in situation
Extract:
The triage nurse for a women's health center receives a phone call from each of the following women.
Question 2 of 5
Which woman should be directed to come to the health care facility IMMEDIATELY?
Correct Answer: A
Rationale: Strategy: Determine the least stable client. (1) correct-needs to be evaluated for an ectopic pregnancy (2) expect during first trimester of pregnancy (3) symptomatic of threatened abortion; instruct to decrease activity (4) symptoms of spontaneous abortion; instruct client to save and count pads
Extract:
Question 3 of 5
A client with polyuria, polydipsia, and polyphagia is diagnosed with diabetes mellitus. The nurse would expect that these symptoms are related to
Correct Answer: B
Rationale: Polyuria, polydipsia, and polyphagia are classic symptoms of hyperglycemia in diabetes mellitus. Hypoglycemia , hyperparathyroidism , and hyperthyroidism do not typically cause this triad.
Question 4 of 5
The nurse has identified what appears to be ventricular tachycardia on the cardiac monitor of a client being evaluated for possible myocardial infarction. The first action the nurse would perform is to
Correct Answer: D
Rationale: Assess airway breathing and circulation. The nurse must first assess the client to determine the appropriate next step. In this case the first step the nurse must take is to evaluate the A, B, C’s.
Extract:
An infant who had a repair of a cleft lip and palate. The respiratory assessment reveals that the infant has upper airway congestion and slightly labored respirations.
Question 5 of 5
Which of the following nursing actions would be MOST appropriate?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) will not promote adequate drainage from the upper airways (2) contraindicated based on the infant's operative site (3) correct, will facilitate drainage of mucus from upper airway, and will promote adjustment to breathing through the nose (4) does not relieve the congestion