NCLEX Questions, NCLEX Trainer Test 9 Questions, NCLEX-PN Questions, Nurselytic

Questions 155

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 9 Questions

Extract:


Question 1 of 5

A client has a Swan-Ganz catheter in place. The nurse understands that this is intended to measure

Correct Answer: B

Rationale: left heart function. The Swan-Ganz catheter is placed in the pulmonary artery to obtain information about the left side of the heart. It can provide hemodynamic information such as intracardiac pressure readings and oxygen saturation data, and even transvenous pacing. Information about left ventricular function is important because it directly affects tissue perfusion. Right-sided heart function is assessed through the evaluation of the central venous pressure (CVP).

Question 2 of 5

A 22 year-old patient in a mental health lock-down unit under suicide watch appears happy about being discharged. Which of the following is probably happening?

Correct Answer: B

Rationale: The suicide plan may have been decided.

Question 3 of 5

Under the supervision of the registered nurse, a student nurse is changing the dressing of a 49-year-old woman with a newly inserted peritoneal dialysis catheter. Which of the following activities, if performed by the student nurse after removal of the old dressing, would require an intervention by the registered nurse?

Correct Answer: C

Rationale: should clean from insertion site outward toward outer abdomen

Question 4 of 5

The nurse is teaching a client who has short-term memory loss how to use the call light. Which factor is least essential for the nurse to assess when teaching this client?

Correct Answer: B

Rationale: Ambulatory difficulty is least relevant, as call light use relies on vision, orientation, and language comprehension, not mobility.

Extract:

The nurse is caring for clients on a psychiatric unit and is suddenly faced with multiple issues.


Question 5 of 5

Which of the following situations require the nurse's IMMEDIATE attention?

Correct Answer: B

Rationale: Strategy: 'Require IMMEDIATE intervention' indicates that you are looking for the least stable situation. (1) should remove to quiet area, decrease environmental stimuli (2) correct-could indicate impending suicide, requires immediate follow-up (3) potential suicide is more immediate concern (4) command hallucination, potential suicide takes priority

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