NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
A client with severe multiple trauma injuries from a motor vehicle accident.
Question 1 of 5
After stabilizing a client with severe multiple trauma injuries from a motor vehicle accident, which of the following actions by the nurse is BEST?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer. Is it desired? (1) inappropriate (2) correct-would provide the appropriate spiritual support necessary during a crisis (3) inappropriate for the data given in the situation (4) inappropriate for the data given in the situation
Extract:
Question 2 of 5
A Jewish client requires grafting to promote burn healing. Which graft is most likely to be unacceptable to the client?
Correct Answer: D
Rationale: A Jewish client may find a xenograft unacceptable due to religious dietary laws that prohibit the use of certain animal products, such as porcine grafts. An isograft (from an identical twin), autograft (from the client's own body), and homograft (from a human donor) are generally more acceptable. Answers A, B, and C are incorrect because they do not typically conflict with Jewish religious beliefs.
Question 3 of 5
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about lifestyle modifications. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Sleeping on the right side can worsen GERD by allowing acid to reflux into the esophagus; the left side or head elevation is preferred. Options A, B, and C are correct: avoiding lying down post-meal, eating smaller meals, and avoiding coffee reduce reflux.
Extract:
A client receiving amphotericin B (Fungizone) 1 mg in 250 cc of 5% dextrose in water IV over a 2-hour period.
Question 4 of 5
The nurse should be MOST concerned if which of the following was observed?
Correct Answer: B
Rationale: Strategy: 'MOST concerned' indicates an untoward effect of the medication. (1) normal results, causes renal toxicity, BUN and creatine would be elevated, normal BUN 7-18 mg/dL, normal creatine 0.6-1.2 mg/dL (2) correct-monitor vital signs every 30 min (3) not side effect of medication (4) normal AST (formerly SGOT) 8-20 U/L, normal ALT (formerly SGPT) 8-20 U/L, normal bilirubin 0.1-1.0 mg/dL, may cause elevation, check liver function studies weekly, notify physician if elevated
Extract:
Question 5 of 5
The nurse is caring for a client with a history of depression who is receiving bupropion (Wellbutrin) 150 mg PO bid. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: C
Rationale: Thoughts of ending life indicate suicidal ideation, a medical emergency requiring immediate intervention in a client on bupropion. Options