NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
A client is receiving an intravenous (IV) infusion for pain control. When caring for this client, which one of these actions can the RN safely assign to an unlicensed assistive personnel (UAP)?
Correct Answer: D
Rationale: When directing the UAP, communicate clearly and specifically what the task is and what should be reported to the nurse. Implementation of routine tasks should be delegated since they do not require independent judgment.
Question 2 of 5
A client hospitalized with acute glomerulonephritis has a positive ASO titer. The nurse understands that the client's current illness is due to a:
Correct Answer: B
Rationale: A positive antistreptolysin titer indicates infection with Group A β-hemolytic Streptococcus, a bacterial infection. Answers A, C, and D are not associated with acute glomerulonephritis so they are incorrect.
Question 3 of 5
The primary purpose for using a CPM machine for the client with a total knee repair is to help:
Correct Answer: A
Rationale: A CPM machine prevents contractures by maintaining joint mobility post-knee repair. It aids flexion but primarily prevents stiffness. Pain and lactic acid are secondary concerns.
Question 4 of 5
The client who is scheduled for a knee replacement asks the nurse why she should donate her own blood before surgery. How should the nurse respond?
Correct Answer: C
Rationale: Autologous blood donation eliminates transfusion-related infection risks, like hepatitis or HIV, ensuring safety during surgery.
Question 5 of 5
An extremely agitated client is receiving haloperidol (Haldol) IM every 30 minutes while in the psychiatric emergency room.
Correct Answer: A
Rationale: Haloperidol can cause postural hypotension due to alpha-adrenergic blockade, especially during rapid neuroleptization. Monitoring vital signs, particularly blood pressure, every 30 minutes ensures client safety. Reassurance, education, and monitoring side effects are secondary to physiological stability.