NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
Treatment of sickle cell crises includes the application of:
Correct Answer: A
Rationale: Heat application to joints during sickle cell crises promotes vasodilation, improving blood flow and reducing pain from vaso-occlusion. Ice may worsen vasoconstriction, CPM is irrelevant, and TENS is not standard for sickle cell pain.
Question 2 of 5
Included in teaching the client with tuberculosis taking isoniazid (INH) about follow-up home care, the nurse should emphasize that a laboratory appointment for which of the following lab tests is critical?
Correct Answer: A
Rationale: Liver function. INH can cause hepatocellular injury and hepatitis. This side effect is age-related and can be detected with regular assessment of liver enzymes, which are released into the blood from damaged liver cells.
Extract:
An extremely angry patient with bipolar illness who just learned his wife has filed for divorce.
Question 3 of 5
Which of the following responses by the nurse is MOST appropriate?
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-patient is able to use phone unless otherwise indicated by court order or physician's order (2) has not lost civil right to use phone (3) denies patient his civil rights (4) inappropriate
Extract:
Question 4 of 5
The nurse is caring for a client with a history of chronic venous insufficiency.
Correct Answer: A
Rationale: Compression stockings improve venous return, reducing edema and stasis in chronic venous insufficiency. Bed rest is discouraged, diuretics are not primary, and head elevation is irrelevant.
Question 5 of 5
An 87-year-old woman is admitted to the acute care hospital for heart failure. The nurse asks about the client's signs and symptoms and obtains vital signs. Considering the client's age, what additional question is most important for the nurse to ask?
Correct Answer: D
Rationale: Elderly patients are at risk for tetanus due to waning immunity; assessing vaccination status is critical for infection prevention.