NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
A client is being discharged following insertion of a permanent set pacemaker. A client with a permanent set pacemaker should be taught:
Correct Answer: C
Rationale: Modern pacemakers adjust their rate based on activity (rate-responsive pacing), so the client should understand that increased activity may require pacemaker adjustments.
Question 2 of 5
A 21-year-old woman at 16 -weeks gestation undergoes an amniocentesis. The client asks the nurse what the physician will learn from this procedure. The nurse's response should be based on an understanding that which of the following conditions can be detected by this Test ?
Correct Answer: C
Rationale: maternal antibodies destroy fetal RBCs; bilirubin secreted because of hemolysis
Question 3 of 5
Which of the following should the nurse include in his teaching plan for the client taking Vasopressin (Lypressin)?
Correct Answer: D
Rationale: Vasopressin is often administered nasally or by injection, so teaching the proper administration method is essential.
Question 4 of 5
An adult male is admitted with urolithiasis. The nurse expects which orders for this client? Select all that apply.
Correct Answer: A,B,C
Rationale: Pushing fluids promotes stone passage, straining urine captures stones for analysis, and pain medication addresses colic in urolithiasis. Clean catch, catheterization, or clear liquids are not standard.
Question 5 of 5
Prochlorperazine maleate (Compazine) 10 mg IM has been ordered for a client.
Correct Answer: C
Rationale: Prochlorperazine (Compazine) is incompatible with other medications in the same syringe, so it must be drawn and administered separately from Stadol. Monitoring vital signs (e.g., blood pressure for orthostatic hypotension) is important but not the priority before administration. Dilution and route verification are unnecessary.