NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
Which of the following findings distinguishes a hydrocele from an inguinal hernia?
Correct Answer: A
Rationale: A hydrocele is non-reducible, translucent swelling due to fluid around the testis, unlike an inguinal hernia, which is often reducible and opaque.
Question 2 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 3 of 5
The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:
Correct Answer: D
Rationale: Children of gay and lesbian parents should be reassured that their relationship with their parent will not change because of the discussion.
Question 4 of 5
The nurse is caring for a client who is postoperative day 1 after a total hip replacement. Which of the following actions is the PRIORITY?
Correct Answer: C
Rationale: Positioning with legs abducted prevents hip dislocation, a critical complication post-hip replacement. Options A, B, and D are important but secondary: incentive spirometry prevents pneumonia, pain management supports recovery, and dressing checks monitor bleeding.
Question 5 of 5
The nurse is discussing dietary intake with an adolescent who has acne. The most appropriate statement for the nurse is
Correct Answer: A
Rationale: Eat a balanced diet for your age. There are no recommended additions and subtractions from the diet for acne management.