NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
A patient with hyperparathyroidism.
Question 1 of 5
Which symptom is MOST important for the nurse to report to the next shift?
Correct Answer: B
Rationale: Strategy: Determine how each answer choice relates to hyperparathyroidism. (1) sign of hyperparathyroidism but does not require reporting (2) correct-hematuria is a sign of renal calculi; 55% of hyperparathyroid clients have renal stones (3) sign of hyperparathyroidism but does not require reporting (4) sign of hyperparathyroidism but does not require reporting
Extract:
Question 2 of 5
The nurse is teaching a client with a new diagnosis of hyperthyroidism about propylthiouracil (PTU). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping propylthiouracil when thyroid levels are normal is incorrect, as hyperthyroidism requires prolonged treatment to maintain euthyroid status. Options A, B, and C are correct: fever may indicate agranulocytosis, food reduces GI upset, and shellfish (iodine-rich) should be avoided.
Extract:
A client has a chest tube inserted for treatment of a hemothorax.
Question 3 of 5
Which of the following findings would indicate to the nurse that there is a problem with the effective functioning of the chest tube?
Correct Answer: B
Rationale: Strategy: Think about each answer choice. (1) appropriate, regulates the amount of suction delivered to the patient (2) correct-would indicate an air leak, would not allow negative pressure to be reestablished and would hinder complete resolution of the pneumothorax (3) appropriate, provides for a water seal (4) would be an expected finding
Extract:
Question 4 of 5
The teaching plan for gay or lesbian parents who want to disclose their homosexuality to their children should include all of the following instructions except:
Correct Answer: D
Rationale: Children of gay and lesbian parents should be reassured that their relationship with their parent will not change because of the discussion.
Question 5 of 5
When a client is having a general tonic clonic seizure, the nurse should
Correct Answer: B
Rationale: Place the client on their side. This position maintains a patent airway and prevents aspiration.