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:
A 12-year-old girl whose tracheostomy tube inserted 2 days ago has been accidentally dislodged.
Question 2 of 5
The nurse should
Correct Answer: A
Rationale: Strategy: Answers are a mix of assessments and implementations. Does this situation require validation? No. Determine the outcome of the implementations. Remember ABCs. (1) correct-implementation, will secure the airway (2) implementation, will not provide for open airway (3) implementation, will not help with open airway (4) assessment, should be done after tracheostomy tube is replaced
Extract:
A 62-year-old man who is scheduled for a total laryngectomy.
Question 3 of 5
Which of the following statements, if made by the family, would indicate to the nurse a need for further teaching?
Correct Answer: C
Rationale: Strategy: 'Further teaching is necessary' indicates an incorrect response. (1) will communicate in writing initially, then artificial larynx or esophageal speech (2) will require laryngectomy tube to prevent scar tissue contracture (3) correct-requires nutritional support for 10 days until wound heals, then gradually resumes oral intake (4) common with total laryngectomy
Extract:
Question 4 of 5
A client has an order for D5NS 1,000 mL to infuse over 8 hours. The IV set delivers 10 drops per mL. The nurse should maintain the infusion rate at:
Correct Answer: C
Rationale: Calculate: 1,000 mL / 8 hours = 125 mL/hour. 125 mL/hour × 10 drops/mL ÷ 60 minutes = 20.83 drops/minute, rounded to 21 drops/minute.
Question 5 of 5
The nurse is teaching a group of college students about breast self-examination. A woman asks for the best time to perform the monthly exam. What is the best reply by the nurse?
Correct Answer: B
Rationale: The best time for a breast self-exam (BSE) is a week after a menstrual cycle, when the breasts are no longer swollen and tender due to hormone elevation.