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 planning care for a client with a diagnosis of paranoid schizophrenia. The nurse knows that questioning the client about his false ideas will
Correct Answer: A
Rationale: contraindicated; encourages patient to engage in further distortion of reality
Extract:
A client is currently hospitalized with renal failure and has 3+ pitting edema of the lower extremities.
Question 3 of 5
Which of the following nursing observations would indicate a therapeutic response to therapy for the edema?
Correct Answer: D
Rationale: Strategy: Determine how each answer choice relates to edema. (1) no relation to edema (2) no relation to edema (3) urine specific gravity may be decreased as client begins to lose some edema fluid (4) correct-edema is a result of sodium and fluid retention; weight loss should occur if therapy is effective
Extract:
Question 4 of 5
The nurse is caring for a client who is suffering from severe anxiety. What must the client do first when learning to deal with his anxiety?
Correct Answer: A
Rationale: Recognizing anxiety is the first step in managing it, enabling the client to address triggers, reasons, and coping strategies sequentially.
Question 5 of 5
The nurse is to obtain pedal pulses on a client following a cardiac catheterization. Which is the proper procedure?
Correct Answer: D
Rationale: Pedal pulses are assessed by palpating the dorsalis pedis or posterior tibial arteries on the foot, checking for circulation post-catheterization.