NCLEX Trainer Test 1 Questions

Question 1 of 5

A nurse is caring for a 37-year-old woman with metastatic ovarian cancer admitted for nausea and vomiting.

A. What is the best indication that the nutritional status of a woman with metastatic ovarian cancer has improved after 4 days of TPN?B. The patient eats most of the food served to her.C. The patient has gained 1 pound since admission.D. The patient’s albumin level is 0 mg/dL.E. The patient’s hemoglobin is 8.5 g/dL.

Correct Answer: C

Rationale: Albumin levels (normal 5–5.0 g/dL) are the best indicator of long-term nutritional status, reflecting protein stores. A level of 0 mg/dL indicates improved nutrition. Eating more, weight gain (which may be fluid), or hemoglobin levels (affected by cancer or chemotherapy) are less reliable indicators.

Question 2 of 5

The nurse is caring for a client with end stage renal disease. What action should the nurse take to assess for patency in a fistula used for hemodialysis?

A. Observe for edema proximal to the siteB. Irrigate with 5 ml of 0.9% Normal SalineC. Palpate for a thrill over the fistulaD. Check color and warmth in the extremity

Correct Answer: C

Rationale: Palpate for a thrill over the fistula. A thrill indicates patency of the fistula.

Question 3 of 5

The nurse is caring for a client with a history of chronic kidney disease.

A. Which dietary restriction is most important for a client with chronic kidney disease?B. Low-sodium diet.C. Low-carbohydrate diet.D. High-protein diet.E. High-fat diet.

Correct Answer: A

Rationale: A low-sodium diet reduces fluid retention and hypertension in chronic kidney disease. Protein is restricted, carbohydrates are encouraged, and high-fat diets are not indicated.

Extract:

A comatose patient who is incontinent.

Question 4 of 5

The nurse should intervene if which of the following actions is noted?

A. The nurse assistant answers the phone while wearing gloves.B. The nursing assistant log rolls the patient to provide back care.C. The nursing assistant places an incontinence pad under the patient.D. The nursing assistant positions the patient on the left side, head elevated.

Correct Answer: A

Rationale: Strategy: 'Nurse should intervene' indicates that you are looking for an incorrect action. (1) correct-contaminated gloves should be removed before answering the phone (2) correct way to roll a patient to maintain proper alignment (3) appropriate to use incontinence pad for this patient (4) appropriate position to prevent aspiration and protect the airway

Extract:

Question 5 of 5

An elderly client is admitted to a skilled nursing care facility. When doing a skin assessment, the nurse notes a 3-cm round area of partial-thickness skin loss that looks like a blister on the client's sacrum. The nurse interprets this to be a:

A. stage I pressure ulcer.B. stage II pressure ulcer.C. stage III pressure ulcer.D. stage IV pressure ulcer.

Correct Answer: B

Rationale: A stage II pressure ulcer involves partial-thickness skin loss, often presenting as a blister or shallow open ulcer, matching the description. Stage I is non-blanchable erythema, stage III involves full-thickness loss, and stage IV extends to muscle/bone.

NCLEX Trainer Test 1 Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN