NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
An elderly man is admitted to an inpatient psychiatric unit with an initial diagnosis of psychotic depression. The INITIAL nursing priority is to
Correct Answer: C
Rationale: initial nursing priority for all psychiatric patients is to ensure their safety and the safety of all members of the milieu
Question 2 of 5
A client is scheduled to have a parathyroidectomy. The nurse would be MOST concerned if the client was observed eating quantities of food from which of the following food groups?
Correct Answer: A
Rationale: low-calcium diet is recommended preoperatively
Question 3 of 5
A client has a bovine graft inserted into the left arm for hemodialysis. During the immediate postoperative period, which of the following actions, if performed by the nurse, is BEST?
Correct Answer: B
Rationale: BP should always be taken on the opposite arm from the graft
Question 4 of 5
The nurse assesses a prolonged deceleration of the fetal heart rate while the client is receiving oxytocin IV to stimulate labor. The priority nursing intervention would be to
Correct Answer: A
Rationale: will decrease contractions and thus possibly remove uterine pressure to the fetus, which is possibly cause of deceleration
Question 5 of 5
The nurse has just received report from the previous shift. Which of the following clients should the nurse see FIRST?
Correct Answer: C
Rationale: indicates hypoglycemia; symptoms include tachycardia, cold and clammy skin, weakness and pallor; check blood sugar, offer milk