NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
A 78-year-old client is admitted in heart failure. Which assessment is essential for the nurse to make because the client is in heart failure? Select all that apply.
Correct Answer: B,D,E
Rationale: Persons who are in heart failure are at risk for developing pulmonary edema. The nurse should listen for lung sounds, check legs for pitting edema, which is common in heart failure, and observe respirations for severe dyspnea. Pedal pulses, upper extremity neuro checks, and gait disturbances are not related to heart failure or to pulmonary edema.
Question 2 of 5
The nurse is teaching parents of an infant about introduction of solid food to their baby. What is the first food they can add to the diet?
Correct Answer: B
Rationale: Cereal is usually introduced first because it is well tolerated, easy to digest, and contains iron.
Extract:
Before administering calcium gluconate 10% 500 mg IV stat.
Question 3 of 5
It is MOST important that the nurse assess the
Correct Answer: C
Rationale: Strategy: Determine how each answer choice relates to calcium gluconate. (1) unnecessary in this situation (2) unnecessary in this situation (3) correct-if injected into the extravascular tissues, calcium gluconate can cause a severe chemical burn (4) irrelevant
Extract:
A school-aged child who was diagnosed two weeks ago with hepatitis A.
Question 4 of 5
Which of the following responses by the nurse is BEST?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) communicable for 2-3 weeks before onset of jaundice and about 1 week after onset of jaundice (2) passing the buck (3) correct-type A hepatitis is not infectious within a week or so after the onset of jaundice, child can return to school (4) can return to school, activity at that time depends on the child's energy level
Extract:
Question 5 of 5
Which client should be assigned to the licensed practical nurse?
Correct Answer: B
Rationale: A client with a cast for a fractured femur is stable and suitable for an LPN. Ventilator support and post-op thyroidectomy require RN skills, and interferon administration needs specialized knowledge.