NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
An intravenous pyelogram (IVP) is ordered for a client who is scheduled to have his left kidney removed because of hypertension and renal disease. Which of the following nursing actions has the highest priority the evening prior to the IVP?
Correct Answer: B
Rationale: assessment, clients sensitive to iodine can develop anaphylaxis; client should be asked specifically about allergies to iodine; iodine is present in the radiopaque material that is injected IV
Question 2 of 5
The nurse is caring for a client with a history of congestive heart failure.
Correct Answer: A
Rationale: Daily weight monitoring detects fluid retention early, a key indicator of worsening heart failure. Extra diuretics require medical orders, high-sodium diets worsen fluid retention, and exercise is encouraged within limits.
Question 3 of 5
The nurse is teaching a client about warfarin (Coumadin) therapy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: green leafy vegetables are high in vitamin K, which can decrease the effectiveness of warfarin
Extract:
A client is scheduled for an intravenous pyelogram (IVP).
Question 4 of 5
Nursing management prior to an intravenous pyelogram (IVP) would include which of the following?
Correct Answer: C
Rationale: Strategy: Answers are all implementations. Determine the outcome of each answer choice. Is it desired? (1) fat-free meal is associated with a gall bladder series (2) a retention Foley catheter may be in place, but not for the purpose of dilating the bladder sphincter (3) correct-because of the need to visualize the abdominal area, cleansing enemas the evening before an IVP are usually ordered (4) there are few directions the client needs to follow during the Test
Extract:
Question 5 of 5
The nurse is caring for a client after an ileostomy. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: B
Rationale: important to report these findings to the physician; may indicate an obstruction or stoma stricture