NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
A 34-year-old multipara comes to the prenatal clinic during her fifth month of pregnancy. The client complains to the nurse that her breasts are sensitive and sore.
Question 1 of 5
Which of the following suggestions by the nurse is BEST?
Correct Answer: C
Rationale: Strategy: 'BEST' indicates priority question. All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) would increase circulation and increase discomfort, should avoid taking medications (2) not effective in decreasing discomfort (3) correct-during pregnancy there is an increase in lactiferous ducts and lobule-alveolar tissue (4) medications are to be avoided during pregnancy
Extract:
Question 2 of 5
The nurse is assisting a client with deep breathing and coughing exercises following abdominal surgery. What instruction is most appropriate for the nurse to give the client?
Correct Answer: B
Rationale: Splinting the incision reduces pain and supports effective deep breathing and coughing, preventing postoperative complications.
Question 3 of 5
A 28-year-old client is admitted to the hospital unit with hepatitis A. The nurse knows that the client's overall care during hospitalization should include which of the following?
Correct Answer: C
Rationale: standard precautions should be used on everyone; sources for this virus are saliva, feces, and blood; use contact isolation if fecal incontinence
Question 4 of 5
The nurse is caring for a client with a history of type 2 diabetes who is receiving metformin (Glucophage) 500 mg PO bid. Which of the following laboratory results would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: A creatinine of 2.0 mg/dL indicates renal impairment, increasing the risk of lactic acidosis with metformin, requiring immediate evaluation. Options B, C, and D are less concerning: A1c 7.0% shows fair control, potassium 4.0 mEq/L is normal, and glucose 120 mg/dL is acceptable.
Question 5 of 5
The doctor has ordered nasogastric feedings for an elderly client with dysphagia. Prior to administering a tube feeding, the nurse should:
Correct Answer: B
Rationale: Checking the pH of gastric aspirant confirms tube placement in the stomach (pH <5). Discarding aspirant risks fluid loss, suction is not routine, and mixing with water dilutes the feeding.