NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 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 2 of 5
The nurse and a student nurse are discussing the specific points about infants born to HBsAg-positive mothers. Which of these comments by the student indicates a need for clarification of information?
Correct Answer: C
Rationale: The third dose should be given at least 16 weeks from the first dose and 8 weeks from the second dose. All of the other options are correct information.
Question 3 of 5
A client who is about to be discharged from the acute care facility is receiving warfarin (Coumadin). The nurse should plan to teach the client which of the following?
Correct Answer: B
Rationale: Warfarin interacts with many over-the-counter medications, risking bleeding or reduced efficacy, so physician consultation is essential. Full stomach, aspirin, or sun exposure are not primary concerns.
Extract:
An older man is being prepared for discharge after treatment for dehydration.
Question 4 of 5
Which of the following statements, if made by the patient to the nurse, indicates that further teaching is needed?
Correct Answer: A
Rationale: Strategy: Determine how each answer choice relates to dehydration. Be careful, this is a negative question. (1) correct-would only indicate overhydration, not response to dehydration (2) will help prevent recurrence of dehydration, should force fluids to 3,000 cc/day (3) would give good indication of total intake (4) would indicate postural hypotension resulting from volume deficit
Extract:
Question 5 of 5
A prenatal client tests positive for chlamydia in her ninth month. She asks why she should be treated since she does not have symptoms. The nurse should tell the client that if she is not treated before delivery, there is a risk of which problem?
Correct Answer: B
Rationale: Untreated chlamydia can cause neonatal conjunctivitis (ophthalmia neonatorum) during vaginal delivery, necessitating treatment to prevent infant complications.