NCLEX Question Trainer Test 1 Latest Update

NCLEX Question Trainer Test 1 Latest Update 2024-2025 Questions and 100% Verified Correct Answers Guaranteed A+ A 7-year-old girl is seen in the clinic with a diagnosis of pituitary dwarfism. Which of the following clinical manifestations is the nurse MOST likely to observe?

• Abnormal body proportions.
• Early sexual maturation.
• Delicate features.

4. Coarse, dry skin. - CORRECT ANSWER: 3

A 14-year-old girl is brought to the hospital for treatment of second- and third-degree burns sustained in a house fire. An intravenous infusion is started in the patient's left forearm.The nurse knows that the primary purpose of the IV is to

• provide a route for pain medications.
• maintain fluid balance.
• prevent gastrointestinal upset.

4. obtain blood specimens for analysis - CORRECT ANSWER: 2

A 20-year-old woman arrives at the hospital in active labor. The admitting nurse attaches an internal fetal monitor. The nurse knows the MOST important reason for the fetal monitor is

• to evaluate the progress of the client's labor.
• to assess the strength and duration of the client's contractions.
• to monitor the oxygen status of the fetus during labor.

4. to decide if an oxytocin drip is necessary. - CORRECT ANSWER: 3

A 47-year-old woman comes to the outpatient psychiatric clinic for treatment of a fear of heights. The nurse knows that phobias involve

• projection and displacement.
• sublimation and internalization.
• rationalization and intellectualization.

4. reaction formation and symbolization - CORRECT ANSWER: 1

A 48-year-old man with an endotracheal tube needs suctioning. Which of the following statements is an accurate description of how the nurse should perform the procedure?

• Insert the suction catheter four inches into the tube. Apply suction for 30 seconds,

using a twirling motion as the catheter is withdrawn. 1 / 3

• Hyperoxygenate the client and then insert the suction catheter into the tube. Suction

while you remove the catheter using a back and forth motion.

• Explain the procedure to the patient. Insert the catheter while gently applying suction,

and withdraw using a twisting motion.

• Insert the suction catheter until resistance is met, then withdraw it slightly. Apply

suction

intermittently as the catheter is withdrawn. - CORRECT ANSWER: 4

A 54-year-old client developed a postoperative infection and has been receiving ceftriaxone sodium (Rocephin) IV every day. It is MOST important for the nurse to monitor which of the following?

• The surface of the tongue.
• Hemoglobin and hematocrit.
• Skin surfaces in skin folds.

4. Changes in urine characteristics - CORRECT ANSWER: 1

A 65-year-old man is scheduled for a colon resection this morning. Last night he had polyethylene glycolelectrolyte solution (GoLytely) and a soapsuds enema. This morning he passes a medium amount of soft, brown stool. The nurse should know that this

• indicates that the bowel preparation is incomplete.
• is evidence that the patient ate something after midnight.
• is an expected finding before this type of surgery.

4. is the last stool that was left in the colon. - CORRECT ANSWER: 1

A child has pediculosis capitis (head lice) and is being treated with 1% gamma benzene hexachloride (Kwell) shampoo. The nurse should explain to the child's parents that

• treatment should be continued every other day for 1 week.
• clothing and personal belongings require normal cleansing with soap and water.
• application of the shampoo is repeated in 7 to 10 days.

4. one treatment with Kwell kills both lice and nits. - CORRECT ANSWER: 3

A client had a kidney transplant yesterday. The client's son has come to visit. The nurse should instruct the son to do which of the following?

• No special isolation techniques are necessary.
• Wear a double mask and gloves.
• Perform good hand washing.

4. Wear a gown and a mask. - CORRECT ANSWER: 3

• / 3

A client has been receiving chlorpromazine hydrochloride (Thorazine). When the nurse checks on the patient, the patient is restless, unable to sit still, and complains of insomnia and fine tremors of her hands. The nurse knows that these symptoms are

• a side effect of the medication that she will tolerate better as time passes.
• the reason she is receiving this medication.
• extrapyramidal side effects resulting from this medication.
• an indication that the dosage of the medication needs to be increased. - CORRECT

ANSWER: 3

A client is ordered to take aspirin gr. X, PO. The drug label reads: "Aspirin 325 mg per tablet." Which of the following actions should the nurse take?

• Request that the pharmacy send a correctly labeled medication.
• Notify the doctor regarding the dosage.
• Give one tablet.

4. Give two tablets. - CORRECT ANSWER: 4

A client, gravida 2 para 1, is admitted with hypertension and complains that her wedding band is tight. The nurse should expect to assess which of the following with early pre- eclampsia?

• Blurred vision and proteinuria.
• Epigastric pain and headache.
• Facial swelling and proteinuria.

4. Polyuria and hypertonic reflexes. - CORRECT ANSWER: 3

A mentally retarded client is to be discharged home on warfarin sodium (Coumadin), 5 mg each day. To maintain client safety, which of the following would be an appropriate FIRST nursing action?

• Instruct a significant other about the medication regimen.
• Evaluate client comprehension of the medication administration.
• Prepackage the medication to encourage correct administration.
• Encourage a return demonstration of medication self-administration. - CORRECT

ANSWER: 2

A middle-aged man is admitted to an inpatient psychiatric unit. Over the last several months he has become convinced that his brother is trying to steal his property. He is diagnosed with paranoid disorder. The nurse knows that this client is demonstrating which of the following?

• Delusions of persecution.
• Command hallucinations.
• Delusions of reference.
• / 3