NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
The nurse is caring for clients on a psychiatric unit and is suddenly faced with multiple issues.
Question 1 of 5
Which of the following situations require the nurse's IMMEDIATE attention?
Correct Answer: B
Rationale: Strategy: 'Require IMMEDIATE intervention' indicates that you are looking for the least stable situation. (1) should remove to quiet area, decrease environmental stimuli (2) correct-could indicate impending suicide, requires immediate follow-up (3) potential suicide is more immediate concern (4) command hallucination, potential suicide takes priority
Extract:
Question 2 of 5
A school-aged child informs the school nurse that his right knee 'doesn't feel right.' Which of the following actions should the nurse take FIRST?
Correct Answer: D
Rationale: Comparing knees assesses for swelling or deformity, the first step in physical assessment. Options A, B, and C risk exacerbating injury or are interventions before assessment.
Extract:
A client is scheduled for a traditional abdominal cholecystectomy.
Question 3 of 5
Which of the following statements, if made by the nurse to the client the night before surgery, is MOST important?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each implementation. Is it desired? (1) not most important initially, teaching should be done before discharge (2) correct-should be done every two hours to prevent respiratory complications, splinting prevents abdominal jarring (3) PCA pumps used postoperative but medication is administered intermittently (4) NG tube used to drain stomach, T-tube used to drain common bile duct
Extract:
Question 4 of 5
The nurse is caring for a client with a history of Cushing’s syndrome.
Correct Answer: B
Rationale: Moon face and truncal obesity result from cortisol excess in Cushing’s syndrome. Weight loss, hypotension, and polyuria are more typical of Addison’s disease or diabetes insipidus.
Question 5 of 5
The nurse is caring for a manic client in the seclusion room, and it is time for lunch.
Correct Answer: D
Rationale: For safety, a manic client in seclusion should remain in the seclusion room and have meals served there to maintain a controlled environment. Taking the client to the dining room risks escalation, delaying the meal is unnecessary, and linking meals to behavior control is inappropriate.