NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
The nurse answers the psychiatric unit's desk phone. The caller identifies himself as the husband of a patient and inquires about her condition.
Question 1 of 5
Which of the following responses by the nurse is MOST appropriate?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) confidentiality prohibits a professional from discussing information about the patient (2) correct-psychiatric patient retains civil rights to communicate with outside world and have reasonable access to telephones (3) breaks confidentiality (4) patient able to speak for herself
Extract:
Question 2 of 5
The nurse is teaching a client with a new diagnosis of type 1 diabetes about insulin glargine (Lantus). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Taking insulin glargine when blood sugar is high is incorrect, as it is a long-acting basal insulin for steady control, not for acute hyperglycemia. Options A, B, and C are correct: bedtime dosing is standard, it should not be mixed, and rotation prevents lipodystrophy.
Question 3 of 5
A woman is seen in clinic with complaints suggesting cholecystitis or cholelithiasis. What teaching should the nurse expect to reinforce?
Correct Answer: D
Rationale: Fatty foods trigger gallbladder contraction, worsening pain in cholecystitis or cholelithiasis; avoiding them reduces symptoms. Sitting up, carbonated drinks, or caffeine are less critical.
Question 4 of 5
A client has been admitted for meningitis. In reviewing the laboratory analysis of cerebrospinal fluid (CSF), the nurse would expect to note
Correct Answer: A
Rationale: High protein. A positive CSF for meningitis would include presence of protein, a positive blood culture, decreased glucose, cloudy color with an increased opening pressure, and an elevated white blood cell count.
Question 5 of 5
The nurse is teaching a parent about side effects of routine immunizations. Which of the following must be reported immediately?
Correct Answer: D
Rationale: Seizure activity. Other reactions that should be reported include crying for >3 hours, temperature over 104.8 degrees Fahrenheit following DPT immunization, and tender, swollen, reddened areas.