NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
A client with angina is experiencing migraine headaches. The physician has prescribed sumatriptan succinate (Imitrex). Which nursing action is most appropriate?
Correct Answer: A
Rationale: Sumatriptan is contraindicated in clients with angina due to its vasoconstrictive effects, which could exacerbate cardiac ischemia. Consulting the RN to verify the order is the most appropriate action. Obtaining samples, discharge teaching, or consulting social services do not address the safety concern, so answers B, C, and D are incorrect.
Question 2 of 5
The nurse is teaching a client with a new diagnosis of hypertension about hydrochlorothiazide (Hydrodiuril). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping hydrochlorothiazide when feeling better is incorrect, as hypertension requires lifelong treatment to prevent complications. Options A, B, and C are correct: muscle cramps may indicate hypokalemia, potassium-rich foods are recommended, and morning dosing minimizes nocturia.
Question 3 of 5
A client is scheduled to undergo a bone marrow aspiration. Which position would the nurse assist the client into for this procedure?
Correct Answer: A
Rationale: The dorsal recumbent position is used for bone marrow aspiration, typically performed on the iliac crest, allowing access and patient comfort. Supine, High Fowler's, and lithotomy positions are not suitable, so B, C, and D are incorrect.
Question 4 of 5
A diabetic client asks the nurse why the provider ordered a glycosylated hemoglobin (HbA) measurement, since a blood glucose reading was just performed. You will explain to the client that the HbA test:
Correct Answer: D
Rationale: Glycosylated hemoglobin values reflect the average blood glucose (hemoglobin-bound) for the previous 2-3 months and can be used to monitor client adherence to the therapeutic regimen.
Question 5 of 5
The nurse is teaching a client with a new diagnosis of hypertension about lifestyle modifications. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Limiting coffee to one cup a day is unnecessary, as moderate caffeine does not significantly affect blood pressure in most hypertensive patients. Options A, B, and C are correct: exercise, low-sodium diet, and smoking cessation reduce blood pressure.