NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
Question 1 of 5
A client has an order for D5NS 1,000 mL to infuse over 8 hours. The IV set delivers 10 drops per mL. The nurse should maintain the infusion rate at:
Correct Answer: C
Rationale: Calculate: 1,000 mL / 8 hours = 125 mL/hour. 125 mL/hour × 10 drops/mL ÷ 60 minutes = 20.83 drops/minute, rounded to 21 drops/minute.
Question 2 of 5
The nurse is performing a sterile dressing change. Which action is essential?
Correct Answer: D
Rationale: Wearing sterile gloves maintains a sterile field, essential for preventing infection during a sterile dressing change.
Question 3 of 5
A client with lung cancer is advised to increase the protein and kilocalorie content of his diet. Which of the following choices will best meet his need for increased protein and calories?
Correct Answer: D
Rationale: Cheese and yogurt provide high protein and calories, ideal for a client with lung cancer needing nutritional support.
Extract:
A client with severe multiple trauma injuries from a motor vehicle accident.
Question 4 of 5
After stabilizing a client with severe multiple trauma injuries from a motor vehicle accident, which of the following actions by the nurse is BEST?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer. Is it desired? (1) inappropriate (2) correct-would provide the appropriate spiritual support necessary during a crisis (3) inappropriate for the data given in the situation (4) inappropriate for the data given in the situation
Extract:
A 4 lb 10 oz baby boy delivered at 32 weeks gestation. The infant is admitted to the neonatal intensive care unit and placed in an incubator. He has mottling of the skin and acrocyanosis with irregular respirations of 60.
Question 5 of 5
The nurse should recognize these findings as signs of
Correct Answer: B
Rationale: Strategy: Think about each answer choice. (1) blood sugar less than 25 mg/dL, would see cyanosis, apnea, tachypnea, irregular respirations, diaphoresis, jitteriness, weak cry, lethargy, convulsions, coma (2) correct-symptoms describe cold stress (3) would see meconium stained amniotic fluid (4) would see symptoms of shock