NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
Which of the following instructions should be included in the teaching for the client with arthritis?
Correct Answer: B
Rationale: Taking anti-inflammatory medications with meals reduces gastrointestinal irritation, a key teaching point for arthritis management. Exercise and weight-bearing activities are encouraged, and heat/cold alternation is not universally recommended.
Question 2 of 5
A client on assisted ventilation develops a right-sided tension pneumothorax. Which of the following signs is associated with a right-sided tension pneumothorax?
Correct Answer: A
Rationale: Tension pneumothorax causes lung collapse, reducing breath sounds on the affected side (right). Tracheal deviation is toward the unaffected side (left).
Question 3 of 5
The nurse recognizes which of these symptoms as characteristic of a panic attack?
Correct Answer: A
Rationale: panic disorders are characterized by recurrent, unpredictable attacks of intense apprehension or terror that can render a client unable to control a situation or to perform simple tasks; client can experience palpitations, chest pain, shortness of breath, a decrease in perceptual field, and a fear of 'losing it' or going crazy
Question 4 of 5
The nurse is caring for a client who had a cholecystectomy. Which of the following observations is MOST important for the nurse to report to the next shift?
Correct Answer: D
Rationale: Decreased breath sounds suggest atelectasis or pneumonia, serious post-cholecystectomy complications due to reduced ventilation from pain. Options A, B, and C are routine: resting is expected, absent bowel sounds are normal post-surgery, and IV rate is standard.
Question 5 of 5
A nurse has asked a second staff nurse to sign for a wasted narcotic, which was not witnessed by another person. This seems to be a recent pattern of behavior. What is the appropriate initial action?
Correct Answer: A
Rationale: The incident must be reported to the appropriate supervisor, for both ethical and legal reasons. This is not an incident that a co-worker can resolve without referral to a manager.