NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has died. Which type of precautions is appropriate to use when performing postmortem care?
Correct Answer: C
Rationale: The resistant bacteria remain alive for up to 3 days after the client dies.
Therefore, contact precautions must still be implemented.
Question 2 of 5
Which of the following meal choices is suitable for a 6-month-old infant?
Correct Answer: C
Rationale: Rice cereal, formula, and apple juice are appropriate for a 6-month-old, as they are easily digestible and safe. Egg whites, whole milk, and orange juice are not recommended before 1 year due to allergy and digestive risks.
Question 3 of 5
A client who is receiving a blood transfusion experiences a hemolytic reaction. The nurse would anticipate which of the following assessment findings?
Correct Answer: A
Rationale: signs and symptoms of a hemolytic reaction include chills, headache, backache, dyspnea, cyanosis, chest pains, tachycardia, and hypotension
Question 4 of 5
Which individual is at greatest risk for developing hypertension?
Correct Answer: A
Rationale: 45 year-old African American attorney. The incidence of hypertension is greater among African Americans than other groups in the US. The incidence among the Hispanic population is rising.
Question 5 of 5
On the third post-burn day, the nurse finds that the client's hourly urine output is 26 ml. The nurse should continue to assess the client and notify the doctor for an order to:
Correct Answer: D
Rationale: The urinary output should be maintained between 30 ml and 50 ml per hour. The first action should be to increase the IV rate to prevent increased acidosis. Answer A would lead to diminished output, so it is incorrect. There is no indication that the type of IV fluid is not appropriate as is suggested by answer B, making it incorrect. Answer C would not increase the client's output and would place the client at greater risk for infection, so it is incorrect.