NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
A client reports that he has been vomiting for three days, has a low-grade temperature, and feels lethargic. Which Ivanof the following nursing actions is MOST appropriate in evaluating for fluid volume deficit?
Correct Answer: B
Rationale: daily weight is the best way to evaluate for fluid volume deficit
Question 2 of 5
During the removal of a radium implant, it is MOST important for the nurse to take which of the following actions?
Correct Answer: C
Rationale: important that accurate documentation be maintained on the internal radium implant
Question 3 of 5
Which of the following assessments would be a priority when documenting the nursing history of a two-year-old child?
Correct Answer: A
Rationale: during a crisis such as hospitalization, children are able to establish a sense of security through consistency of the rituals and routines from home
Question 4 of 5
The nurse is caring for a client who is postoperative day 1 after a total abdominal hysterectomy. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: A temperature of 100.4°F suggests infection, a serious postoperative complication. Options B, C, and D are expected findings.
Question 5 of 5
The nursing staff is planning to use behavior modification techniques for an elderly woman who constantly screams. Which of the following nursing assessments is necessary to establish a successful program?
Correct Answer: C
Rationale: to design an effective behavior modification program, accurate baseline data must first be collected about the target behavior in relation to frequency, amount, time, and precipitating factors