NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
A 46-year-old man with newly diagnosed diabetes mellitus.
Question 1 of 5
Which of the following responses by the nurse is BEST?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) should buy shoes in the afternoon when feet are larger than in the morning (2) correct-feet enlarge with age, don't break in shoes all at one time, have measurements for shoes taken while standing (feet are larger) (3) buy correct shoe size (4) leather shoes recommended because they 'breathe', vinyl could cause foot to perspire and aggravate fungal infections
Extract:
Question 2 of 5
When teaching a client about an oral hypoglycemic medication, the nurse should place primary emphasis on
Correct Answer: B
Rationale: A regular interval between doses should be maintained since oral hypoglycemics stimulate the islets of Langerhans to produce insulin.
Extract:
A nurse performing actions that would be considered negligence.
Question 3 of 5
Which of the following actions, if performed by the nurse, would be considered negligence?
Correct Answer: C
Rationale: Strategy: 'Negligence' indicates an incorrect action. (1) minimizes muscle atrophy (2) promotes eating, offer more frequent feedings of favorite foods (3) correct-delay in medication may cause difficulty in swallowing, might have difficulty taking medication (4) minor can request birth control without the parent's consent
Extract:
Question 4 of 5
An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while in the psychiatric emergency room.
Correct Answer: A
Rationale: Haloperidol can cause postural hypotension due to alpha-adrenergic blockade, especially during rapid neuroleptization. Monitoring vital signs, particularly blood pressure, every 30 minutes ensures client safety. Reassurance, education, and monitoring side effects are secondary to physiological stability.
Question 5 of 5
The client with a suspected pituitary tumor will most likely exhibit symptoms of:
Correct Answer: A
Rationale: Pituitary tumors can compress the optic chiasm, leading to visual disturbances. Diarrhea , blood glucose changes , and urticaria are less commonly associated with pituitary tumors.