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?

A. Abdominal discomfort.B. Hematuria.C. Muscle weakness.D. Diaphoresis.

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 conducting a community group discussion on nutrition. One of the participants says to the nurse, 'I am a vegan. I have been told I might get pernicious anemia. How can I prevent that?' What should the nurse include when answering the client?

A. She is not at risk for pernicious anemia because there are many nonmeat sources of vitamin B12.B. She is at risk of developing pernicious anemia, but taking a vitamin supplement that contains vitamin B12 should prevent it.C. She should see her physician and ask about getting monthly injections of vitamin B12 because she is a risk for pernicious anemia.D. She should be tested for an enzyme that produces vitamin B12. If she is deficient, she should be treated with daily injections.

Correct Answer: B

Rationale: Vegans lack dietary B12 (found in animal products), risking pernicious anemia. Oral B12 supplements can prevent deficiency, while injections or enzyme testing are unnecessary unless absorption issues exist.

Question 3 of 5

The nurse is teaching family members how to correctly transfer a client who has right hemiplegia from the bed to a wheelchair. Which observation indicates that the family understands how to transfer the client?

A. The wheelchair is placed parallel to the bed on the affected side.B. The family members lift the client up by having her place her arms around their necks.C. The wheelchair is placed at a 45-degree angle to the bed on the client's unaffected side.D. The family members ask for a trapeze bar for the client to use in the transfer.

Correct Answer: C

Rationale: Placing the wheelchair at a 45-degree angle on the unaffected side allows the client to pivot using their stronger left side, ensuring a safe transfer. Affected-side placement or neck lifting is unsafe, and a trapeze is unnecessary.

Question 4 of 5

On the third post-burn day, the nurse finds that the client's hourly urine output is 26 ml. The nurse should continue to assess the client and notify the doctor for an order to:

A. Decrease the rate of the intravenous infusion.B. Change the type of intravenous fluid being administered.C. Change the urinary catheter.D. Increase the rate of the intravenous infusion.

Correct Answer: D

Rationale: The urinary output should be maintained between 30 ml and 50 ml per hour. The first action should be to increase the IV rate to prevent increased acidosis. Answer A would lead to diminished output, so it is incorrect. There is no indication that the type of IV fluid is not appropriate as is suggested by answer B, making it incorrect. Answer C would not increase the client's output and would place the client at greater risk for infection, so it is incorrect.

Extract:

A client with severe bilateral peripheral edema.

Question 5 of 5

Which of the following is the BEST way for the nurse to determine the degree of edema in a limb, and the client's response to treatment?

A. Measure both limbs with the tape measure and compare.B. Depress the skin and rank the degree of pitting.C. Describe the swelling in the affected area.D. Pinch the skin and note how quickly it returns to normal.

Correct Answer: B

Rationale: Strategy: Think about each answer choice. (1) is not the best way to evaluate for peripheral edema (2) correct-severity of edema is characterized by grading it 1+ (2-mm pitting) to 4+ (8-mm pitting) (3) not as objective (4) is used for evaluating hydration

NCLEX Trainer Test 7 Questions | Nurselytic

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