NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
A patient has a Levin tube connected to intermittent low suction. At 7 AM, the nurse charts that there is 235 cc of greenish drainage in the suction container. At 3 PM, the nurse notes that there is 445 cc of greenish drainage in the suction container. Twice during the shift, the nurse irrigates the Levin tube with 30 cc of normal saline, as ordered by the physician. What is the actual amount of drainage from the nasogastric tube for the 7 to 3 shift?
Correct Answer: A
Rationale: 445-235=210-60=150
Question 2 of 5
The nurse is preparing a client environment that will reduce the chance of falls. Which action is appropriate?
Correct Answer: D
Rationale: Clearing a path reduces tripping hazards, a key environmental modification to prevent falls.
Question 3 of 5
A client is going to have an endoscopy performed. Which of the following is not a probable reason for an endoscopy procedure?
Correct Answer: B
Rationale: Bowel movement pain should be examined with a colonoscopy not an endoscopy.
Question 4 of 5
The nurse is caring for a client with a history of leukemia.
Correct Answer: B
Rationale: A platelet count of 20,000/mm³ indicates severe thrombocytopenia, risking life-threatening bleeding in leukemia. Elevated WBC is expected, low hemoglobin is common, and normal potassium is unremarkable.
Question 5 of 5
The nurse is teaching a client who has short-term memory loss how to use the call light. Which factor is least essential for the nurse to assess when teaching this client?
Correct Answer: B
Rationale: Ambulatory difficulty is least relevant, as call light use relies on vision, orientation, and language comprehension, not mobility.