NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
Which of the following assessment findings should the nurse recognize as pertinent to a diagnosis of Cushing's syndrome?
Correct Answer: B
Rationale: clients with Cushing's syndrome tend to lose weight in their legs and have petechiae and bruising
Extract:
A 30-year-old woman is receiving levothyroxine sodium (Synthroid) 0.1 mg PO daily.
Question 2 of 5
Which of the following findings would indicate to the nurse that the client is getting favorable results from the medication?
Correct Answer: B
Rationale: Strategy: Determine how each answer choice relates to hypothyroidism. (1) characteristic of hypothyroidism, would indicate that medication is not working (2) correct-medication increases metabolic processes of body, including glomerular filtration, edema will decrease as water is excreted (3) characteristic of hypothyroidism, would indicate that medication is not working (4) respiratory rate may or may not be affected by medication
Extract:
Question 3 of 5
A 3 year-old had a hip spica cast applied two hours ago. In order to facilitate drying, the nurse should
Correct Answer: A
Rationale: Expose the cast to air and turn the child frequently. The child should be turned every two hours, with the cast's surface exposed to the air.
Question 4 of 5
An elderly client is admitted to a skilled nursing care facility. When doing a skin assessment, the nurse notes a 3-cm round area of partial-thickness skin loss that looks like a blister on the client's sacrum. The nurse interprets this to be a:
Correct Answer: B
Rationale: A stage II pressure ulcer involves partial-thickness skin loss, often presenting as a blister or shallow open ulcer, matching the description. Stage I is non-blanchable erythema, stage III involves full-thickness loss, and stage IV extends to muscle/bone.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of hyperlipidemia about atorvastatin (Lipitor). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping atorvastatin when cholesterol is normal is incorrect, as hyperlipidemia often requires lifelong treatment to prevent cardiovascular events. Options A, B, and C are correct: muscle pain may indicate myopathy, nighttime dosing maximizes efficacy, and grapefruit juice increases drug levels.