NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
The nurse has just returned to the desk and has four phone messages to return.
Question 1 of 5
Which of the following messages should the nurse return FIRST?
Correct Answer: C
Rationale: Strategy: Remember the ABCs. (1) wrist needs to be x-rayed, not a priority (2) indicates infection, treated with antibiotic (3) correct-potential anaphylactic reaction, administer epinephrine, corticosteroids; treat for shock (4) indicates infection, treat with an antibiotic
Extract:
An older man is being prepared for discharge after treatment for dehydration.
Question 2 of 5
Which of the following statements, if made by the patient to the nurse, indicates that further teaching is needed?
Correct Answer: A
Rationale: Strategy: Determine how each answer choice relates to dehydration. Be careful, this is a negative question. (1) correct-would only indicate overhydration, not response to dehydration (2) will help prevent recurrence of dehydration, should force fluids to 3,000 cc/day (3) would give good indication of total intake (4) would indicate postural hypotension resulting from volume deficit
Extract:
Question 3 of 5
At a health-screening clinic, an adult male client's total plasma cholesterol level is 200 mg/dL. The nurse should
Correct Answer: A
Rationale: A cholesterol level of 200 mg/dL is borderline high; reducing fatty foods is appropriate. Options B, C, and D are less immediate or incorrect.
Question 4 of 5
The nurse is to administer a nasogastric tube feeding to a client. Which action is essential prior to administering the feeding?
Correct Answer: B
Rationale: Aspirating and checking pH confirms nasogastric tube placement in the stomach, preventing aspiration during feeding.
Question 5 of 5
A nurse is assessing a patient in the rehab unit at shift change. The patient has suffered a TBI 3 weeks ago. Which of the following is the most distinguishing characteristic of a neurological disturbance?
Correct Answer: A
Rationale: LOC is the most critical indicator of impaired neurological capabilities.