NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
A client is currently hospitalized with renal failure and has 3+ pitting edema of the lower extremities.
Question 1 of 5
Which of the following nursing observations would indicate a therapeutic response to therapy for the edema?
Correct Answer: D
Rationale: Strategy: Determine how each answer choice relates to edema. (1) no relation to edema (2) no relation to edema (3) urine specific gravity may be decreased as client begins to lose some edema fluid (4) correct-edema is a result of sodium and fluid retention; weight loss should occur if therapy is effective
Extract:
Question 2 of 5
The nurse is performing physical assessments on adolescents. What finding would the nurse anticipate concerning female growth spurts?
Correct Answer: A
Rationale: They occur about 2 years earlier than for males. Females experience a growth spurt about 2 years earlier than their male peers.
Extract:
During the physical assessment, the nurse determines the need to perform the bulge Test .
Question 3 of 5
Which of the following statements, if made by the nurse, is BEST?
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-bulge Test confirms presence of fluid in the knee; client's leg should be extended and supported on the bed (2) observing curve of spine; scoliosis will cause lateral curve in the spine (3) unrelated to knee examination (4) Test s articulation of elbow
Extract:
Question 4 of 5
The nurse is caring for an older adult in his home. Which of the following factors increase the client's risk for falls? Select all that apply.
Correct Answer: A,C,F
Rationale: Age over 65, scatter rugs, and obstacles like plants increase fall risk. A one-story home, handrails, and the wife's housework reduce risk.
Question 5 of 5
A client with chronic congestive heart failure should be instructed to contact the home health nurse if which finding occurs?
Correct Answer: A
Rationale: Weight gain of 2 pounds or more in a 48 hour period. It is critical for clients to report and be treated for rapid weight gain, which indicates fluid retention and worsening heart failure.