NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
A student nurse obtaining an infant's vital signs.
Question 1 of 5
Which of the following actions should the student nurse complete FIRST?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) inappropriate to use probe to take axillary temperature (2) should count for a full minute (3) correct-respirations should be counted for one full minute prior to arousing the infant with a temperature probe or stethoscope (4) after infant is stimulated, crying may interfere with accurate evaluation of respirations
Extract:
A patient with rheumatoid arthritis.
Question 2 of 5
Which of the following statements, if made by the nurse, is accurate about the exercise program required for a patient with rheumatoid arthritis?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) consistency is important to maintain joint mobility (2) active exercises are better than passive or active-assistive exercises (3) correct-should reduce when patient experiences more pain (4) should do exercises that have been prescribed for patient
Extract:
Question 3 of 5
The nurse is caring for a client with a history of bipolar disorder who is receiving lithium 300 mg PO tid. Which of the following symptoms should the nurse report immediately?
Correct Answer: B
Rationale: Tremors and confusion suggest lithium toxicity, a medical emergency. Options A, C, and D are common side effects.
Question 4 of 5
The nurse is teaching a client how to care for a colostomy. Which factor indicates that the client needs more instruction?
Correct Answer: B
Rationale: Irrigating while sitting on the toilet risks contamination; irrigation should be done in a controlled setting, indicating a need for further instruction.
Question 5 of 5
The nurse is preparing to discharge a client with a new diagnosis of asthma.
Correct Answer: D
Rationale: Daily peak flow monitoring helps the client detect early changes in lung function, enabling timely intervention to prevent asthma exacerbations. Using a spacer, proper medication sequencing, and exercise management are important but secondary to ongoing monitoring.