NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
An older man is being prepared for discharge after treatment for dehydration.
Question 1 of 5
Which of the following statements, if made by the patient to the nurse, indicates that further teaching is needed?
Correct Answer: A
Rationale: Strategy: Determine how each answer choice relates to dehydration. Be careful, this is a negative question. (1) correct-would only indicate overhydration, not response to dehydration (2) will help prevent recurrence of dehydration, should force fluids to 3,000 cc/day (3) would give good indication of total intake (4) would indicate postural hypotension resulting from volume deficit
Extract:
Question 2 of 5
The nurse is caring for a client with a history of heart failure who is receiving spironolactone (Aldactone) 25 mg PO daily. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: C
Rationale: Muscle cramps suggest hyperkalemia, a serious side effect of spironolactone, a potassium-sparing diuretic, requiring immediate evaluation to prevent arrhythmias. Options A, B, and D are less concerning: fatigue and dry mouth are nonspecific, and taking with food is acceptable.
Question 3 of 5
The nurse is caring for clients in the student health center.
Correct Answer: D
Rationale: The nurse should first assess the client’s exposure risk, as hepatitis B is transmitted through sexual contact or parenteral routes. Asking about unprotected sex determines the need for Test ing or prophylaxis. Empathizing, recommending Test ing, or discussing HBIG are secondary to assessing exposure.
Extract:
An eight-year-old with cystic fibrosis (CF).
Question 4 of 5
Which of the following dietary requirements should be considered?
Correct Answer: B
Rationale: Strategy: Think about each answer choice. (1) contains high fat (2) correct-impaired inTest inal absorption due to cystic fibrosis necessitates a diet higher in protein and calories; fat is decreased because it may interfere with absorption of other nutrients (3) not adequate for this child (4) contains high fat
Extract:
Question 5 of 5
Which vitamin is directly involved in the metabolism of the hormones secreted by the parathyroid?
Correct Answer: B
Rationale: Vitamin D is critical for calcium absorption, which is regulated by parathyroid hormones. Vitamins C, K, and B9 are not directly involved.