NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

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NCLEX Trainer Test 10 Questions

Extract:


Question 1 of 5

A three-month-old patient is experiencing increased intracranial pressure (ICP). Which of the following assessment findings should the nurse report to the physician?

Correct Answer: B

Rationale: sign of increased intracranial pressure

Question 2 of 5

While a two-day-old infant is in surgery for repair of spina bifida, the infant's mother expresses concern to the nurse because the doctor told her the infant would be confined to a wheelchair. Which of the following statements, if made by the nurse, is BEST?

Correct Answer: D

Rationale: spinal nerves that are destroyed by the myelomeningocele cannot be corrected; nothing can return function to portions of the body that are innervated by the spinal nerves below the site of the myelomeningocele

Extract:

The nurse has just received report from the previous shift.


Question 3 of 5

Which of the following clients should the nurse see FIRST?

Correct Answer: C

Rationale: Strategy: Determine the least stable client. (1) not an immediate concern (2) PTT is within normal limits, should give medication (3) correct-indicates hypersensitivity reaction, should stop medication and notify the physician (4) should decrease rate to prevent irritation of the vein

Extract:

A client with pharyngitis.


Question 4 of 5

The clinic nurse is obtaining a throat culture from a client with pharyngitis. It is MOST important for the nurse to do which of the following?

Correct Answer: A

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-tonsillar and pharyngeal areas are quickly swabbed to avoid client discomfort (2) sputum specimen would not reflect throat bacteria (3) should not be done to obtain an adequate culture (4) client should hold the head upright, not hyperextended

Extract:


Question 5 of 5

Which of the following nursing approaches would be MOST appropriate to use while administering an oral medication to a four-month-old?

Correct Answer: B

Rationale: is a convenient method for administering medications to an infant

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