NCLEX-PN
NCLEX Trainer Test 7 Questions
Question 1 of 5
A client with suspected Addison's disease is scheduled for a rapid corticotrophin stimulation test. Which of the following will the nurse include in her teaching?
Correct Answer: B
Rationale: The rapid corticotrophin stimulation test requires periodic blood samples to measure cortisol levels before and after ACTH administration.
Question 2 of 5
The nurse is teaching a client who is preparing to breast-feed. What is the best approach to promote successful breast-feeding?
Correct Answer: C
Rationale: Assist her to position the newborn at the breast. While all of the responses are helpful in teaching, the priority is placing the infant to breast as soon after birth as possible to establish contact and allow the newborn to begin to suck.
Extract:
A client experiencing alcohol withdrawal.
Question 3 of 5
Which finding would indicate to the nurse that a client experiencing alcohol withdrawal is in need of more sedation to control the severity of withdrawal symptoms?
Correct Answer: C
Rationale: Strategy: Determine the significance of each answer choice and how it relates to alcohol withdrawal. (1) would indicate a need for less sedation and a thorough physical assessment (2) suggests neurological trauma or damage (3) correct-pulse rate is a good indicator of client's progress through withdrawal, increasingly elevated pulse signals impending alcohol withdrawal delirium, requiring more sedation (4) suggests that the client is improving and will subsequently require less sedation
Extract:
Question 4 of 5
The nurse is teaching a young woman how to perform breast self-examination. Which comment, if made by the client, indicates that the teaching has been effective?
Correct Answer: D
Rationale: Effective breast self-examination involves checking all breast areas in both lying and standing positions monthly. Yearly exams, frequent doctor visits, or delaying concern are incorrect.
Question 5 of 5
A client has been receiving chlorpromazine (Thorazine) 400 mg/day for four weeks. He experiences an oral temperature of 105°F (40.5°C), severe rigidity, oculogyric crisis, and severe hypertension. It is MOST important for the nurse to take which of the following actions?
Correct Answer: B
Rationale: Symptoms indicate neuroleptic malignant syndrome, a life-threatening reaction to chlorpromazine. Holding the drug and notifying staff is critical. Options A, C, and D address symptoms but not the cause.