NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
An unaccompanied client who is six months pregnant is admitted to the nursing unit with vaginal bleeding.
Question 1 of 5
Which of the following comments, if made by the client, would indicate a need for the nurse to assess the adequacy of the client's emotional support?
Correct Answer: A
Rationale: Strategy: Think about what the words mean. (1) correct-client's concern about her husband's feelings indicates that he may not be able to support her emotionally at this time (2) reflects a reality-based concern (3) indicates an economic concern (4) indicates client needs to talk about her current feelings; does not give any indication of level of emotional support
Extract:
Question 2 of 5
A 14-year-old is going home with a permanent tracheostomy. Which comment by the child's mother indicates to the nurse that the parent needs more instruction?
Correct Answer: A
Rationale: Asking for a fixed suctioning schedule suggests misunderstanding, as suctioning is PRN based on need, indicating a need for further instruction.
Extract:
A client with paralysis from a cerebrovascular accident (CVA).
Question 3 of 5
Which of the following is a priority nursing goal in the plan of care for a client with paralysis from a cerebrovascular accident (CVA)?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) to prevent deformities, the nurse needs to prevent adduction of the affected shoulder (2) correct-flexor muscles are stronger than extensor muscles (3) client will be unable to perform active ROM, will need assistance from nurse (4) to prevent deformities, the nurse needs to prevent external rotation of the hip joint, prevent foot drop (plantar flexion), and place the hand in slight supination so that the fingers are barely flexed
Extract:
Question 4 of 5
The nurse is caring for a client with chronic kidney disease who is receiving epoetin alfa (Epogen). Which of the following laboratory results should the nurse report immediately?
Correct Answer: A
Rationale: A hemoglobin of 14 g/dL is too high, risking hypertension or thrombosis with epoetin alfa. Options B, C, and D are expected or normal.
Extract:
A patient before administration of morphine sulfate 8 mg IM q 3-4 hours for pain PRN.
Question 5 of 5
In which of the following situations should the nurse consider withholding the medication until further assessment is done?
Correct Answer: C
Rationale: Strategy: Determine the significance of each answer choice and how it relates to morphine. (1) morphine used for moderate to severe pain, medication should be given (2) BP slightly elevated, respirations elevated, may be the result of pain, medication should be given (3) correct-morphine depresses CNS, especially respiratory center in medulla (4) may be the result of pain