NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
Which of the following meal choices is suitable for a 6-month-old infant?
Correct Answer: C
Rationale: Rice cereal, formula, and apple juice are appropriate for a 6-month-old, as they are easily digestible and safe. Egg whites, whole milk, and orange juice are not recommended before 1 year due to allergy and digestive risks.
Question 2 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 3 of 5
The nurse is caring for a client who is receiving a blood transfusion. Which of the following findings would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: A temperature of 100.4°F during a blood transfusion suggests a transfusion reaction, such as febrile non-hemolytic reaction, requiring immediate cessation of the transfusion. Options B, C, and D are normal: heart rate 90 bpm, respiratory rate 18 breaths/min, and blood pressure 120/80 mmHg do not indicate complications.
Extract:
A child with celiac disease.
Question 4 of 5
The nurse is instructing the parents of a child with celiac disease. The nurse knows that teaching has been effective when the parents make which of the following statements?
Correct Answer: D
Rationale: Strategy: 'Teaching has been effective' indicates you are looking for a correct statement. The topic of the question is unstated. (1) does not reflect appropriate dietary needs for this child (2) does not reflect appropriate dietary needs for this child (3) does not reflect appropriate dietary needs for this child (4) correct-celiac disease is characterized by an intolerance for gluten; foods containing rye, oats, wheat, and barley should be restricted
Extract:
Question 5 of 5
A client with end stage renal disease has been managed by peritoneal dialysis. Which finding should be reported to the doctor immediately?
Correct Answer: B
Rationale: Complaints of abdominal pain, nausea, fever, and return of cloudy dialysate should be reported to the physician since they are indications of peritonitis. Diminished or slow return of dialysate, as mentioned in answer A, is managed by having the client turn side to side or move about to facilitate return flow, so it is incorrect. Answers C and D are favorable findings that do not require intervention; therefore, they are incorrect.