NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
A client is receiving a blood transfusion. Fifteen minutes after the transfusion begins, the client develops a fever and chills. Which of the following actions should the nurse take FIRST?
Correct Answer: A
Rationale: fever and chills may indicate a transfusion reaction, and the transfusion must be stopped immediately
Question 2 of 5
The nurse is observing a student nurse auscultate the lungs of a client. The nurse knows that the student nurse is correctly auscultating the right middle lobe (RML) if the stethoscope is placed in which of the following positions?
Correct Answer: B
Rationale: RML is found in the right anterior chest between the fourth and sixth intercostal spaces
Question 3 of 5
The nurse is teaching a client with a new diagnosis of osteoporosis about calcitonin (Miacalcin). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping calcitonin when bone density improves is incorrect, as osteoporosis often requires ongoing treatment to maintain bone health. Options A, B, and C are correct: nasal irritation is a side effect, bedtime dosing is standard, and alternating nostrils prevents irritation.
Question 4 of 5
A 45-year-old client with newly diagnosed IDDM (insulin-dependent diabetes mellitus) is being seen by the home health nurse. The physician has placed him on a 1,800-calorie ADA diet, ordered the client to self-administer 15 units of NPH insulin each day before breakfast, and check his blood sugar qid. When the nurse visits the client at 5 PM, the nurse discovers that the client has not eaten since noon and has just returned from jogging. The client's vital signs are: BP 110/80, pulse 120, respirations 18, temperature 98.2°F (36.8°C). When the client obtains his blood sugar reading, the nurse would expect it to be?
Correct Answer: D
Rationale: hypoglycemia symptoms are cool, clammy skin, diaphoresis, nervousness, weakness, hunger, confusion, headache, slurred speech, coma
Question 5 of 5
The nurse is assessing a client with suspected appendicitis. Which of the following findings would the nurse expect to observe?
Correct Answer: B
Rationale: rebound tenderness at McBurney's point is a classic sign of appendicitis