NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
Which of the following findings is associated with right-sided heart failure?
Correct Answer: B
Rationale: Nocturnal polyuria occurs in right-sided heart failure due to fluid redistribution at night. Shortness of breath and crackles are more typical of left-sided failure. Oliguria is not specific.
Question 2 of 5
The nurse is caring for a client with a history of chronic pain.
Correct Answer: B
Rationale: A pain management program (e.g., cognitive-behavioral therapy, physical therapy) addresses chronic pain holistically, improving function and coping. PRN analgesics are less effective long-term, activity is encouraged, and ice is condition-specific.
Question 3 of 5
A four-month-old child is admitted with a tentative diagnosis of meningitis.
Correct Answer: A
Rationale: Restraining the child during a lumbar puncture prevents movement, reducing the risk of spinal trauma. Parental instruction and emotional support are important but secondary, and elevating the head is inappropriate for positioning.
Question 4 of 5
The nurse is talking to parents about nutrition in school aged children. Which of the following is the most common nutritional disorder in this age group?
Correct Answer: C
Rationale: Obesity. Factors like sedentary lifestyles and poor nutrition knowledge contribute to high obesity rates in school-aged children.
Question 5 of 5
The nurse is administering lidocaine (Xylocaine) to a client with a myocardial infarction. Which of the following assessment findings requires the nurse's immediate action?
Correct Answer: C
Rationale: One of the side effects of lidocaine is bradycardia, heart block, cardiovascular collapse, and cardiac arrest (this drug should never be administered without continuous EKG monitoring).