NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
An adult is being worked up for a possible duodenal ulcer. The nurse knows that which data, if present, would be most consistent with a duodenal ulcer?
Correct Answer: A
Rationale: Duodenal ulcers typically cause pain 2-3 hours after eating, relieved by food ('feeding the ulcer'), unlike pain immediately after eating (gastric ulcer), clay stools (biliary issues), or shoulder pain (gallbladder).
Question 2 of 5
The nurse is caring for a client with a history of heart failure who is receiving carvedilol (Coreg) 6.25 mg PO bid. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Hypotension (90/60 mmHg) is a serious carvedilol side effect, risking perfusion in heart failure. Options B, C, and D are normal.
Question 3 of 5
A 5-year old is admitted to the hospital with pneumonia. Her orders include chest physiotherapy, mist tent, and inhalation with Mucomyst (acetylcysteine). Which of the following measures should be included in her care?
Correct Answer: C
Rationale: Checking clothing and linen for dampness is necessary due to the mist tent, which can cause moisture buildup, leading to discomfort or skin issues.
Extract:
The nurse has administered sublingual nitroglycerin (Nitrostat) to a client complaining of chest pain.
Question 4 of 5
Which of the following observations is MOST important for the nurse to report to the next shift?
Correct Answer: B
Rationale: Strategy: The topic of the question is unstated. Read answer choices for clues. (1) not a side effect of this medication (2) correct-hypotension is significant side effect of nitroglycerin; although effect may be transient, BP should be closely observed to ensure that it does not continue to decrease (3) not a side effect of this medication (4) an expected outcome
Extract:
Question 5 of 5
The nurse is caring for a client with a nasogastric tube.
Correct Answer: B
Rationale: Irrigating the nasogastric tube with warm saline is the first step to clear an occlusion, restoring function. Replacing the tube is invasive, advancing it risks misplacement, and repositioning does not address the occlusion directly.