NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
A client had a thoracotomy 3 hours ago. For the past 2 hours there has been 100 cc per hour of bloody chest drainage. Which of the following actions should the nurse take FIRST?
Correct Answer: D
Rationale: Excessive chest drainage (100 cc/hour) suggests hemorrhage, requiring immediate physician notification. Options A, B, and C are secondary interventions.
Question 2 of 5
A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push.
Correct Answer: B
Rationale: Severe hypotension is a serious side effect of procainamide, requiring the dose to be withheld to prevent cardiovascular collapse. PVCs and atrial tachycardia are arrhythmias the drug treats, and a normal sedimentation rate is irrelevant.
Question 3 of 5
An older adult is diagnosed with Parkinson's disease. The client asks the nurse what causes Parkinson's disease. In addition to telling the client that we are not really sure what causes it, the nurse should include which information?
Correct Answer: A
Rationale: Parkinson's disease results from dopamine deficiency in the basal ganglia, impairing movement, unlike myelin destruction, acetylcholine issues, or circulatory obstruction.
Question 4 of 5
A client has been receiving lithium (Lithane) for the past two weeks for the treatment of bipolar illness. When planning client teaching, what is most important for the nurse to emphasize?
Correct Answer: D
Rationale: Come in for evaluation of serum lithium levels regularly. Regular monitoring prevents toxicity, especially during conditions like hot weather that affect sodium levels.
Extract:
Before administering calcium gluconate 10% 500 mg IV stat.
Question 5 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