NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
A family member of a client who has sustained an electrical burn states, 'I don't understand why he has been here a week. The burn does not look that bad.' Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: electrical burn injuries are typically more injurious to underlying tissue such as nerve and vascular tissue, which require complex and timely treatment
Extract:
A patient is returned from surgery with a Jackson-Pratt drain in place. The nurse observes a student nurse perform a dressing change for the patient.
Question 2 of 5
Which of the following activities if performed by the student nurse would require an intervention by the nurse?
Correct Answer: B
Rationale: Strategy: 'Require an intervention' indicates an incorrect response. (1) drains used to prevent wound infections and abscess formation (2) correct-drain should be attached to patient's gown or pajamas, never to the sheet or mattress (3) Jackson-Pratt drain is a self-contained suction device that is emptied as needed (4) important to monitor output
Extract:
Question 3 of 5
A 56-year-old woman has a subclavian triple lumen catheter that is used for administration of total parenteral nutrition (TPN). The physician has ordered that all lumens be flushed with a diluted heparin solution BID. When the nurse attempts to flush the distal lumen, resistance is met. The nurse should
Correct Answer: D
Rationale: streptokinase may used to dissolve clot, if unsuccessful, lumen is labeled as clotted off
Question 4 of 5
The nurse plans care for a 25-year-old woman immediately after a cesarean section. Which of the following nursing goals is MOST important?
Correct Answer: B
Rationale: hemorrhage and shock most life-threatening conditions that occur after surgery
Question 5 of 5
The physician orders indomethacin (Indocin) 25 mg PO bid for a 34-year-old woman. It would be most important for the nurse to make which of the following statements?
Correct Answer: A
Rationale: reduces GI upset