NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nursing care plan for a five-year-old with a closed head injury should contain which of the following?
Correct Answer: B
Rationale: early signs of increased intracranial pressure are alterations in orientation
Question 2 of 5
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen at 2 L/min via nasal cannula. The client reports increased shortness of breath. Which of the following actions should the nurse take FIRST?
Correct Answer: B
Rationale: checking oxygen saturation provides objective data to assess the client's respiratory status
Question 3 of 5
An elderly man is admitted to a medical unit with shortness of breath and is diagnosed with an upper respiratory infection (URI). He is placed on droplet precautions. The nurse has just finished giving him his PO medications. As the nurse leaves his room, the nurse should
Correct Answer: C
Rationale: hands should be washed before removing mask to prevent transfer of microbes to face
Question 4 of 5
The nurse is teaching a client with type 1 diabetes about insulin administration. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Injecting insulin into the thigh before exercise can increase absorption due to muscle activity, risking hypoglycemia. The abdomen is preferred for consistent absorption. Options A, B, and C are correct: rotation prevents lipodystrophy, refrigeration preserves insulin, and checking blood sugar ensures proper dosing.
Question 5 of 5
At approximately 6 PM, the nurse begins to open the nurses' notes for the evening shift. The last entry is noted for 1 PM, and there is no signature. The MOST appropriate nursing response is to
Correct Answer: C
Rationale: day nurse can make a 'late entry' to add any additional information