NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
A client has developed a low inTest inal obstruction. The nurse would anticipate which of the following findings?
Correct Answer: A
Rationale: there is distention above the level of obstruction and initially hyperactive bowel sounds; would be no stool, as motility distal to (below) the obstruction would cease
Question 2 of 5
The nurse is caring for a client who is 2 days postoperative after a cholecystectomy. Which of the following findings would be of GREATest concern to the nurse?
Correct Answer: C
Rationale: Yellowish drainage from the incision suggests infection or bile leakage, a serious complication post-cholecystectomy requiring immediate evaluation. Options A, B, and D are expected or normal: slight fever is common, incision pain is typical, and urine output is adequate.
Question 3 of 5
A postoperative client has pain medication ordered PRN for discomfort. During the first assessment, the nurse notes that the client has not received pain medication all day. His vital signs are within normal limits, but he is sweating profusely. He smiles at you while speaking and states that he is not hot but is still experiencing some pain and has been since early this morning. What is the most appropriate nursing action?
Correct Answer: B
Rationale: Administering the minimum dose and reassessing ensures effective pain management while monitoring response, given diaphoresis and reported pain.
Question 4 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.
Extract:
A patient with rheumatoid arthritis.
Question 5 of 5
Which of the following statements, if made by the nurse, is accurate about the exercise program required for a patient with rheumatoid arthritis?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) consistency is important to maintain joint mobility (2) active exercises are better than passive or active-assistive exercises (3) correct-should reduce when patient experiences more pain (4) should do exercises that have been prescribed for patient