NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
An adult is hospitalized for heart failure. Hydrochlorothiazide and digoxin are prescribed. What laboratory test(s) should the nurse monitor because the client is taking these medications?
Correct Answer: D
Rationale: Hydrochlorothiazide and digoxin can cause electrolyte imbalances (e.g., hypokalemia), increasing digoxin toxicity risk, necessitating serum electrolyte monitoring.
Question 2 of 5
The nurse is teaching a client with a new diagnosis of multiple sclerosis about interferon beta-1a (Avonex). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Fever or flu-like symptoms are common interferon beta-1a side effects but may also indicate infection, requiring reporting. Options A, C, and D are incorrect: grapefruit juice is irrelevant, stopping the medication risks relapse, and exams are essential.
Question 3 of 5
The nurse is caring for a six-year-old boy several hours after the application of a hip spica cast.
Correct Answer: D
Rationale: Pain in the foot post-cast application suggests possible circulatory impairment. Checking the blanching sign (capillary refill) assesses circulation, comparing the affected and unaffected sides. Elevation, palpation, or medication may follow but do not address the urgent need to assess circulation.
Question 4 of 5
Which of the following is the BEST method for the nurse to use when evaluating the effectiveness of tracheal suctioning?
Correct Answer: D
Rationale: to assess the effectiveness of suctioning, auscultate the client's chest to determine if the adventitious sounds are cleared and to ensure that the airway is clear of secretions.
Extract:
The nurse is caring for clients on a psychiatric unit and is suddenly faced with multiple issues.
Question 5 of 5
Which of the following situations require the nurse's IMMEDIATE attention?
Correct Answer: B
Rationale: Strategy: 'Require IMMEDIATE intervention' indicates that you are looking for the least stable situation. (1) should remove to quiet area, decrease environmental stimuli (2) correct-could indicate impending suicide, requires immediate follow-up (3) potential suicide is more immediate concern (4) command hallucination, potential suicide takes priority