NCLEX Trainer Test 7 Questions

Question 1 of 5

The nurse is caring for a client with a history of tuberculosis.

A. Which precaution is most appropriate for a client with active tuberculosis?B. Standard precautions.C. Droplet precautions.D. Contact precautions.E. Airborne precautions.

Correct Answer: D

Rationale: Airborne precautions are required for active tuberculosis to prevent transmission via respiratory droplets. Standard, droplet, and contact precautions are insufficient.

Question 2 of 5

An adult who has just been diagnosed with pulmonary tuberculosis asks the nurse how long he will have to be in isolation. What should be included in the nurse's reply?

A. Isolation is for the duration of the treatment, which is at least 26 weeks.B. Isolation is necessary as long as the client has a cough.C. When the client has three negative sputum specimens, isolation is discontinued.D. When the evening fevers and night sweats subside, isolation is discontinued.

Correct Answer: C

Rationale: Isolation for pulmonary TB ends when three consecutive sputum samples are negative, indicating non-infectiousness, typically before the full 6-month treatment.

Question 3 of 5

Which of these parents' comments about a newborn would most likely reveal an initial finding of a suspected pyloric stenosis?

A. I noticed a little lump a little above the belly button.B. The baby seems hungry all the time.C. Mild vomiting turned into vomiting that shot across the room.D. We notice irritation and spitting up immediately after feedings.

Correct Answer: C

Rationale: Mild vomiting turned into vomiting that shot across the room. Projectile vomiting is a hallmark of pyloric stenosis.

Extract:

A primigravida client, 10-days postpartum, who is anxious about caring for her newborn. A middle-aged client, 6-days postoperative, who is complaining of pain in his midsternal incision. A client with AIDS who had a chest tube removed yesterday and is complaining of crackling under his skin. A client who receives amiloride hydrochloride (Midamor) and states that she is dizzy when she gets up in the morning.

Question 4 of 5

The homecare nurse is scheduling clients for the day. Which of the following clients should the nurse visit FIRST?

A. A primigravida client, 10-days postpartum, who is anxious about caring for her newborn.B. A middle-aged client, 6-days postoperative, who is complaining of pain in his midsternal incision.C. A client with AIDS who had a chest tube removed yesterday and is complaining of crackling under his skin.D. A client who receives amiloride hydrochloride (Midamor) and states that she is dizzy when she gets up in the morning.

Correct Answer: C

Rationale: Strategy: Identify the least stable client by eliminating the more stable clients. (1) psychosocial need, physical issues take priority (2) complaints require follow-up, but not the most unstable client (3) correct-describes subcutaneous emphysema, which is indication of pneumothorax; observe client for respiratory distress, contact physician (4) postural hypotension a side effect of diuretic therapy, change position slowly

Extract:

Question 5 of 5

Which of the following meal choices is suitable for a 6-month-old infant?

A. Egg white, formula, and orange juiceB. Apple juice, carrots, and whole milkC. Rice cereal, formula, and apple juiceD. Melba toast, egg yolk, and whole milk

Correct Answer: C

Rationale: Rice cereal, formula, and apple juice are appropriate for a 6-month-old, as they are easily digestible and safe. Egg whites, whole milk, and orange juice are not recommended before 1 year due to allergy and digestive risks.

NCLEX Trainer Test 7 Questions | Nurselytic

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