NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
Which of these statements by the nurse is incorrect if the nurse has the goal to reinforce information about cancers to a group of young adults?
Correct Answer: A
Rationale: It is recommended that only red meat be limited for the prevention of stomach cancer. All of the other statements offer correct information.
Question 2 of 5
A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I).
Correct Answer: D
Rationale:
To prevent dumping syndrome, the client should avoid large meals high in simple sugars and liquids, which can cause rapid gastric emptying. The client should recline after meals, drink fluids between meals, and reduce carbohydrate intake to stabilize digestion.
Question 3 of 5
The nurse is providing home care to a confused older adult. The family members have tied the client in a chair with a large leather belt. They say the client wanders if he isn't restrained. What initial nursing action is most appropriate?
Correct Answer: C
Rationale: Helping the family create a safer environment addresses wandering non-restrictively, promoting safety and autonomy. Reporting, praising, or prohibiting are less constructive.
Question 4 of 5
The nurse is caring for a client who is receiving IV gentamicin for a gram-negative infection. Which of the following laboratory results would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: A creatinine of 2.5 mg/dL indicates renal impairment, a serious complication of gentamicin due to nephrotoxicity, requiring immediate evaluation. Options B, C, and D are normal: sodium 140 mEq/L, potassium 4.0 mEq/L, and hemoglobin 13 g/dL do not indicate complications.
Question 5 of 5
A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
Correct Answer: B
Rationale: Myxedema (severe hypothyroidism) causes weight gain, lethargy, slowed speech, and decreased respiratory rate due to slowed metabolism. Other options describe hyperthyroidism or mixed symptoms.