NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
A client who has been abusing alcohol and other drugs for six years. The nursing diagnosis is ineffective individual coping.
Question 1 of 5
Which of the following nursing actions should take priority during the working stage of their relationship?
Correct Answer: D
Rationale: Strategy: Answers are a mix of assessments and implementations. Are the assessments appropriate? No. Determine the outcome of the implementations. (1) assessment, important in the assessment phase of the relationship (2) assessment, important for a different nursing diagnosis (3) implementation, will be important in discharge planning (4) correct-implementation, describes the work of the interpersonal relationship with a chemically dependent client; goal is to get client to recognize problems the chemicals have caused and to learn new methods of solving problems
Extract:
Question 2 of 5
The nurse is caring for a client with a history of Crohn’s disease.
Correct Answer: B
Rationale: A low-residue diet during Crohn’s disease exacerbations reduces bowel irritation. High-fiber is used in remission, high-fat diets worsen symptoms, and dairy is avoided only if intolerant.
Question 3 of 5
The nurse is caring for clients in the skilled nursing facility.
Correct Answer: A
Rationale: A client with an expired warfarin prescription post-CVA is at high risk for recurrent stroke due to the anticoagulant’s 2-5 day duration, requiring immediate attention. Pain management, urinary symptoms, and immunization are less urgent.
Question 4 of 5
The physician prescribes cimetidine (Tagamet) 300 mg PO qid for a 75-year-old man. The nurse instructs the client about the medication. Which of the following statements, if made by the client, would indicate that further teaching is needed?
Correct Answer: C
Rationale: no change in stool color
Extract:
A client who has just indicated a wish to kill herself and asks the nurse not to tell anyone.
Question 5 of 5
The nurse's BEST response should be to
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) does not answer client's immediate concern or give client accurate information about what the nurse will do (2) does not answer client's immediate concern or give client accurate information about what the nurse will do (3) correct-nurse must let the client know that this information will be shared with the staff so that the client's safety can be preserved (4) does not answer client's immediate concern or give client accurate information about what the nurse will do