NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
A Miller-Abbott tube is ordered for a client. The nurse knows that the main reason this tube is inserted is to
Correct Answer: D
Rationale: Miller-Abbott tube provides for inTest inal decompression; inTest inal tube is often used for treatment of paralytic ileus
Question 2 of 5
The nurse is caring for a client who is receiving IV fluids at 125 mL/hour. Which of the following findings would be of GREATest concern to the nurse?
Correct Answer: C
Rationale: A respiratory rate of 24 breaths/min suggests fluid overload, a potential complication of IV fluids, possibly leading to pulmonary edema. Options A, B, and D are normal: blood pressure 130/80 mmHg, heart rate 88 bpm, and urine output 100 mL/hour indicate adequate hydration.
Question 3 of 5
The nurse is caring for a client with a history of atrial fibrillation.
Correct Answer: C
Rationale: Warfarin is the standard anticoagulant for preventing thromboembolism in atrial fibrillation, reducing stroke risk. Aspirin and clopidogrel are antiplatelets, and heparin is used short-term or in acute settings.
Extract:
A client is seen in the clinic for complaints of back pain.
Question 4 of 5
Which of the following actions, if performed by the client, would indicate that teaching has been effective?
Correct Answer: C
Rationale: Strategy: 'Teaching has been effective' indicates a true statement. (1) causes stress on lumbar region of back (2) causes stress on lower spine (3) correct-provides lumbar flexion, decreasing pressure on lower spine (4) should have feet apart for wide base of support
Extract:
Question 5 of 5
The nurse is assisting the physician with the insertion of a central venous catheter. Which statement best explains the rationale for placing the client in Trendelenburg position?
Correct Answer: A
Rationale: Trendelenburg position elevates the veins, making central venous catheter insertion easier. Comfort , tachycardia , and emboli are not primary concerns.