NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
A symptom of impending cardiac decompensation in a pregnant client with heart disease is:
Correct Answer: A
Rationale: Increasing dyspnea signals worsening cardiac function and potential decompensation, a critical symptom in pregnant clients with heart disease. Other symptoms are less specific.
Question 2 of 5
Under the supervision of the registered nurse, a student nurse is changing the dressing of a 49-year-old woman with a newly inserted peritoneal dialysis catheter. Which of the following activities, if performed by the student nurse after removal of the old dressing, would require an intervention by the registered nurse?
Correct Answer: C
Rationale: should clean from insertion site outward toward outer abdomen
Question 3 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.
Question 4 of 5
The nurse is administering alendronate (Fosamax) to an adult. Which instruction is necessary to give the client?
Correct Answer: C
Rationale: Alendronate can cause esophageal irritation; sitting up for 30 minutes post-dose ensures proper passage and absorption, preventing reflux. Milk, meals, or lying down increase irritation risk.
Question 5 of 5
Because a client has Guillain-Barré syndrome, the nurse would expect which of the following in the client's history?
Correct Answer: A
Rationale: Guillain-Barré syndrome is often preceded by a viral upper respiratory infection, triggering an autoimmune response, unlike tick bites, mosquito bites, or strep throat.