NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
A client with a total knee replacement returns from surgery. Which finding requires immediate nursing intervention?
Correct Answer: B
Rationale: A 90° flexion setting on the CPM machine is too aggressive post-surgery, risking injury, and requires immediate adjustment. Drainage , non-ambulation , and spasms are expected or less urgent.
Question 2 of 5
The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the nurse perform first?
Correct Answer: B
Rationale: Place the child on its side. Protecting the airway is the top priority in a seizure to ensure a patent airway and oxygenation.
Question 3 of 5
The nurse is caring for a six-year-old boy several hours after the application of a hip spica cast.
Correct Answer: D
Rationale: Pain in the foot post-cast application suggests possible circulatory impairment. Checking the blanching sign (capillary refill) assesses circulation, comparing the affected and unaffected sides. Elevation, palpation, or medication may follow but do not address the urgent need to assess circulation.
Question 4 of 5
The nurse is planning care for a client with a diagnosis of paranoid schizophrenia. The nurse knows that questioning the client about his false ideas will
Correct Answer: A
Rationale: contraindicated; encourages patient to engage in further distortion of reality
Question 5 of 5
A client has fludrocortisone acetate (Florinef) prescribed. What blood tests should the nurse monitor when administering this drug?
Correct Answer: C
Rationale: Fludrocortisone, a mineralocorticoid, affects sodium and potassium balance, requiring monitoring of serum electrolytes to detect imbalances like hypernatremia or hypokalemia.