NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
During the second session of individual therapy, a client sits quietly with arms folded and eyes cast down.
Question 1 of 5
Which of the following statements by the nurse is BEST?
Correct Answer: D
Rationale: Strategy: 'BEST' indicates that this is a priority question. Remember therapeutic communication. (1) is used to get client comfortable, but would not help to focus on what is important (2) focusing on client's difficulty speaking may make him defensive and block communication (3) concrete questions will encourage client to give yes/no answers, factual answers may block communication of feelings (4) correct-reflection allows client to verbalize feelings
Extract:
Question 2 of 5
A mother calls the clinic, concerned that her 5 week-old infant is 'sleeping more than her brother did.' What is the best initial response?
Correct Answer: C
Rationale: Open ended questions encourage further discussion and conversation, thereby eliciting further information.
Question 3 of 5
The nurse is caring for a client with a history of chronic lymphocytic leukemia.
Correct Answer: C
Rationale: Fever and night sweats may indicate infection or disease progression in chronic lymphocytic leukemia, requiring immediate evaluation. Fatigue, lymph node enlargement, and low hemoglobin are expected.
Question 4 of 5
The nurse knows that the client with peripheral vascular disease understands her instructions in ways to improve circulation if the client states
Correct Answer: C
Rationale: Answer C is the 'odd answer' and correct. Walking improves circulation by developing muscles that support blood vessels. Massaging may dislodge clots, elevating the bed is not specific to circulation, and propping feet reduces venous pooling but is less effective than walking.
Question 5 of 5
The nurse is to administer the daily dose of digoxin to an adult client. What is it essential for the nurse to do before administering the medication?
Correct Answer: D
Rationale: Digoxin slows heart rate; checking the apical pulse ensures it's above 60 bpm to avoid bradycardia. Temperature, blood pressure, and respirations are less critical.