NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
A nurse is performing the routine daily cleaning of a tracheostomy. During the procedure, the client coughs and displaces the tracheostomy tube. This negative outcome could have been avoided by
Correct Answer: C
Rationale: fastening clean tracheostomy ties before removing old ties. Fastening clean tracheostomy ties before removing old ones will ensure that the tracheostomy is secured during the entire cleaning procedure. The obturator is useful to keep the airway open only after the tracheostomy outer tube is coughed out. A second nurse is not needed. Changing the position may not prevent a dislodged tracheostomy.
Question 2 of 5
The nurse is caring for a client with a history of chronic kidney disease who is receiving epoetin alfa (Epogen). Which of the following laboratory results would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: A hemoglobin of 14 g/dL is too high for epoetin alfa therapy, increasing the risk of hypertension and thrombosis, requiring dose adjustment. Options B, C, and D are expected: potassium 4.5 mEq/L and calcium 9.0 mg/dL are normal, and creatinine 3.0 mg/dL is consistent with chronic kidney disease.
Question 3 of 5
Omeprazole (Prilosec), cimetidine (Tagamet), and Maalox are ordered for an adult. When should the nurse plan to administer these drugs?
Correct Answer: A
Rationale: Omeprazole (PPI) is taken before meals to inhibit acid production, cimetidine (H2 blocker) with meals to reduce acid during digestion, and Maalox (antacid) after meals to neutralize residual acid.
Question 4 of 5
A client with chronic congestive heart failure should be instructed to contact the home health nurse if which finding occurs?
Correct Answer: A
Rationale: Weight gain of 2 pounds or more in a 48 hour period. It is critical for clients to report and be treated for rapid weight gain, which indicates fluid retention and worsening heart failure.
Question 5 of 5
The nurse is planning care for an 8 year-old child. Which of the following should be included in the plan of care?
Correct Answer: A
Rationale: Encourage child to engage in activities in the playroom. According to Erikson, the school age child is in the stage of industry versus inferiority.
To help them achieve industry, the nurse should encourage them to carry out tasks and activities in their room or in the playroom.