NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
Which comment is the client who has Parkinson's disease most likely to make?
Correct Answer: B
Rationale: Rigidity and stiffness, especially after immobility, are hallmark Parkinson's symptoms, unlike tremors (more action-specific), dry mouth, or gait preferences.
Question 2 of 5
The nurse is caring for a client with a history of tuberculosis.
Correct Answer: D
Rationale: Airborne precautions are required for active tuberculosis to prevent transmission via respiratory droplets. Standard, droplet, and contact precautions are insufficient.
Question 3 of 5
On the third post-burn day, the nurse finds that the client's hourly urine output is 26 ml. The nurse should continue to assess the client and notify the doctor for an order to:
Correct Answer: D
Rationale: The urinary output should be maintained between 30 ml and 50 ml per hour. The first action should be to increase the IV rate to prevent increased acidosis. Answer A would lead to diminished output, so it is incorrect. There is no indication that the type of IV fluid is not appropriate as is suggested by answer B, making it incorrect. Answer C would not increase the client's output and would place the client at greater risk for infection, so it is incorrect.
Question 4 of 5
The nurse is teaching parents about the appropriate diet for a 4 month-old infant with gastroenteritis and mild dehydration. In addition to oral rehydration fluids, the diet should include
Correct Answer: A
Rationale: The usual diet for a young infant should be followed.
Extract:
A four-year-old child with sickle cell anemia.
Question 5 of 5
The nurse is aware that which of the following statements, if made by the parents of a four-year-old child with sickle cell anemia, indicates a need for further teaching?
Correct Answer: A
Rationale: Strategy: 'Need for further teaching' indicates you are looking for an incorrect behavior. (1) correct-aspirin can cause a hemorrhage during a sickle cell crisis (2) important for a sickle cell client to prevent sickling crisis (3) reflects appropriate use of medication to decrease the client's pain (4) important for a sickle cell client to prevent sickling crisis