NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
A client has a bovine graft inserted into the left arm for hemodialysis. During the immediate postoperative period, which of the following actions, if performed by the nurse, is BEST?
Correct Answer: B
Rationale: BP should always be taken on the opposite arm from the graft
Question 2 of 5
While planning care for an elderly client with dementia, which of the following should be a priority for the nurse?
Correct Answer: D
Rationale: is most effective when communicating with an elderly client
Question 3 of 5
A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic.
Correct Answer: A
Rationale: Glucose and acetone in urine suggest possible gestational diabetes, which can lead to placental insufficiency and fetal complications, requiring immediate evaluation. Mild edema, increased vaginal discharge, and diaphragmatic pressure are common in late pregnancy and not necessarily indicative of complications.
Question 4 of 5
The nurse is caring for a client with a history of epilepsy.
Correct Answer: A
Rationale: Keeping the bed in the lowest position reduces fall risk during seizures. Visitors are not restricted, oxygen is not routine, and tongue blades are contraindicated.
Extract:
A client who has been abusing alcohol and other drugs for six years. The nursing diagnosis is ineffective individual coping.
Question 5 of 5
Which of the following nursing actions should take priority during the working stage of their relationship?
Correct Answer: D
Rationale: Strategy: Answers are a mix of assessments and implementations. Are the assessments appropriate? No. Determine the outcome of the implementations. (1) assessment, important in the assessment phase of the relationship (2) assessment, important for a different nursing diagnosis (3) implementation, will be important in discharge planning (4) correct-implementation, describes the work of the interpersonal relationship with a chemically dependent client; goal is to get client to recognize problems the chemicals have caused and to learn new methods of solving problems