NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
When a client is having a general tonic clonic seizure, the nurse should
Correct Answer: B
Rationale: Place the client on their side. This position maintains a patent airway and prevents aspiration.
Question 2 of 5
The nurse is caring for an adult who is admitted in right heart failure. Which observation is most consistent with this condition?
Correct Answer: A
Rationale: Right heart failure causes systemic venous congestion, leading to distended neck veins due to increased jugular venous pressure. Facial edema, renal failure, and constipation are less specific to right heart failure.
Question 3 of 5
A woman is scheduled for a breast biopsy. She is crying and says, 'I am so upset because I watched my mother die from ovarian cancer.' What is the most appropriate nursing diagnosis?
Correct Answer: A
Rationale: Fear of cancer due to her mother's death is the most specific diagnosis, addressing her emotional response to the biopsy.
Question 4 of 5
The nurse is providing home care to an 89-year-old man. Which comments by the client indicate a need for further follow up? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Color vision loss, photophobia, hearing loss, and memory issues suggest potential medical issues (e.g., cataracts, glaucoma, hearing impairment, cognitive decline) requiring follow-up.
Question 5 of 5
The nurse is caring for a client with a history of asthma who is receiving albuterol via nebulizer. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: A heart rate of 120 bpm suggests tachycardia, a serious albuterol side effect. Options B, C, and D are normal or expected.