NCLEX-PN
NCLEX Trainer Test 3 Questions
Question 1 of 5
An elderly client with a fractured hip is placed in Buck's traction. The primary purpose for Buck's traction for this client is:
Correct Answer: A
Rationale: Buck's traction immobilizes the hip to reduce muscle spasms, which can worsen pain and misalignment. It does not prevent surgery or bleeding and is not primarily for pain relief.
Question 2 of 5
A low-sodium, high-potassium diet is ordered for a client. Which food selection made by the client indicates understanding of the prescribed diet?
Correct Answer: A
Rationale: Orange juice and vegetables are high in potassium and low in sodium, aligning with the prescribed diet, unlike milk, beef, or fried foods.
Question 3 of 5
A client has recently been diagnosed with Type 1 diabetes mellitus. The nurse is instructing the client about self-administering insulin. What should be included in the teaching? Select all that apply.
Correct Answer: C,D,E
Rationale: Injecting 1 inch from the umbilicus ensures absorption, drawing regular insulin before NPH prevents contamination, and checking glucose confirms dosing need. Pinch skin (not muscle), don't shake insulin, and rotate sites.
Question 4 of 5
A client arrives at the emergency room with an HR of 120, an RR of 48, and hemoptysis. The nurse should give priority to:
Correct Answer: B
Rationale: Hemoptysis and tachypnea suggest respiratory distress, so oxygen administration is the priority to stabilize the client.
Question 5 of 5
The nurse is participating in a community health fair. As part of the assessments, the nurse should conduct a mental status examination when
Correct Answer: C
Rationale: Conducting any health assessment. A mental status examination is a critical part of baseline health assessments.