NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
A client is seen in the emergency room with complaints of chest pain.
Correct Answer: C
Rationale: Substernal chest pain radiating to the left arm is a classic symptom of cardiac ischemia, such as angina or myocardial infarction. Sharp pain with breathing suggests pleuritic causes, fatty meals indicate gastroinTest inal issues, and pain with lifting suggests musculoskeletal strain.
Question 2 of 5
The physician's orders include warm compresses to the left leg three times a day for treatment of an open wound. Which action is appropriate when carrying out these orders?
Correct Answer: C
Rationale: A dry covering and waterproof material over the compress maintain warmth and prevent contamination while keeping the surrounding area dry. Aseptic technique is needed for open wounds, open-air compresses lose heat, and five minutes is too short.
Extract:
The nurse is aware that Rh immune globulin (RhoGAM) is administered.
Question 3 of 5
The nurse is aware that Rh immune globulin (RhoGAM) is administered to prevent complications in which of the following situations?
Correct Answer: B
Rationale: Strategy: Think about each answer choice. (1) if both mother and baby are Rh-negative, there is no problem (2) correct-RhoGAM is given to an Rh-negative mother who delivers an Rh-positive baby when baby has a negative Coombs' Test (3) medication is not given if the mother has been sensitized by a previous pregnancy (4) there is no incompatibility here, but the mother needs to be evaluated regarding sensitization in the incomplete pregnancy
Extract:
A client with an obsessive-compulsive disorder manifested by the compulsion of handwashing.
Question 4 of 5
The nurse knows that which of the following BEST describes the client's need for the repetitive acts of handwashing?
Correct Answer: C
Rationale: Strategy: Think about each answer choice. (1) not a manipulation on the client's part (2) not an accurate statement regarding the compulsive behavior of this client (3) correct-compulsive behavior is an unconscious attempt to control and/or relieve the tension and anxiety the client is experiencing (4) client is not subject to depression but to high levels of anxiety
Extract:
A 19-year-old woman after delivery of a 7 lb 10 oz baby boy. The patient has decided to bottle-feed her infant.
Question 5 of 5
The nurse should encourage the patient to
Correct Answer: D
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) will encourage milk secretion (2) will enhance flow of milk (3) may be taut due to engorgement, massage would be painful and unnecessary, will encourage milk flow (4) correct-will help minimize discomfort during period of engorgement