NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
A client has received thrombolytic therapy, and the physician has ordered meperidine (Demerol) IM for pain. Before administering the injection, the nurse should
Correct Answer: B
Rationale: implementation, complications of thrombolytic therapy include bleeding, which can occur with intramuscular injections; nurse should confer with the physician about the appropriateness of the order
Question 2 of 5
A patient received meperidine (Demerol) 75 mg IM 2 hours ago for complaints of pain. The patient turns on his call light and tells the nurse he has to go to the bathroom. The physician has ordered BPR (bathroom privileges). The nurse should
Correct Answer: B
Rationale: side effects of medication include decreased BP, orthostatic hypotension, bradycardia
Question 3 of 5
A 19-year-old college student has a Mantoux test performed at the college health clinic. The result is positive. The clinic nurse should
Correct Answer: A
Rationale: will perform chest x-ray
Question 4 of 5
The nurse is caring for a client with a history of depression who is receiving fluoxetine (Prozac) 20 mg PO daily. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: C
Rationale: Thoughts of ending life indicate suicidal ideation, a medical emergency requiring immediate intervention in a client on fluoxetine. Options A, B, and D are less concerning: fatigue and dry mouth are common side effects, and taking with food is acceptable.
Question 5 of 5
The nurse is caring for a 74-year-old man with type I diabetes. The client is scheduled for cataractsurgery under general anesthesia at 9 AM. The man usually receives 30 units of NPH and 10 units of regular insulin each morning at 7 AM. At 7 AM the morning of surgery, the nurse would expect to take which of the following actions?
Correct Answer: A
Rationale: usually use sliding scale with regular insulin based on blood glucose readings