NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
A client who is terminally ill has been receiving high doses of an opioid analgesic for the past month. As death approaches and the client becomes unresponsive to verbal stimuli, what orders would the nurse expect from the health care provider?
Correct Answer: C
Rationale: Continue the same analgesic dosage. Dying patients who have been in chronic pain will probably continue to experience pain even though they cannot communicate their experience. Pain medication should be continued at the same dose, if effective.
Extract:
A patient is admitted to the hospital for a hypoglossectomy with lymph node dissection.
Question 2 of 5
The patient's preoperative care includes frequent oral hygiene with hydrogen peroxide. The nurse knows the purpose of this treatment is to
Correct Answer: A
Rationale: Strategy: Determine how each answer choice relates to the procedure. (1) correct-destroys bacteria found in mouth, reduces the chance of infection (2) is not the action of hydrogen peroxide (3) circulation is unaffected by a mouth rinse (4) has slight drying effect on mucous membranes
Extract:
Question 3 of 5
The nurse is preparing a five-year-old child for surgery.
Correct Answer: D
Rationale: In cases of joint legal custody, consent from either parent is sufficient for surgical procedures. Since the mother has signed the informed consent, no further action is needed, and the nurse should continue preoperative preparation. Notifying the physician, informing surgery, or contacting the father is unnecessary.
Question 4 of 5
The home health nurse visits a client who is six-weeks postpartum.
Correct Answer: C
Rationale: Painful sexual intercourse six weeks postpartum is abnormal and may indicate infection, episiotomy complications, or other issues requiring immediate evaluation. Hot flashes, pinkish discharge, and fatigue are common during the postpartum period as the body recovers.
Question 5 of 5
The nurse is caring for a client with a history of peptic ulcer disease.
Correct Answer: A
Rationale: Avoiding spicy foods and caffeine reduces gastric irritation in peptic ulcer disease. Small, frequent meals are preferred, high-fat foods delay healing, and alcohol exacerbates ulcers.