NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
At approximately 6 PM, the nurse begins to open the nurses' notes for the evening shift. The last entry is noted for 1 PM, and there is no signature. The MOST appropriate nursing response is to
Correct Answer: C
Rationale: day nurse can make a 'late entry' to add any additional information
Question 2 of 5
The nurse is caring for a patient recovering from abdominal surgery. While ambulating, the patient complains to the nurse that she has a dull ache in her left leg. The nurse should
Correct Answer: A
Rationale: promotes venous return and decreases venous pressure relieving pain and edema
Question 3 of 5
The nurse is caring for a client with a history of epilepsy.
Correct Answer: A
Rationale: Keeping the bed in the lowest position reduces fall risk during seizures. Visitors are not restricted, oxygen is not routine, and tongue blades are contraindicated.
Question 4 of 5
The nurse is caring for a two-month-old infant. A pH probe test indicates that the infant has reflux. Which nursing action is MOST appropriate?
Correct Answer: D
Rationale: infant with reflux should be maintained in an upright position; head of the bed should be raised at a 30° angle
Question 5 of 5
A three-month-old is placed in Bryant's traction for developmental dysplasia of the hips. Which of the following toys would be appropriate for the nurse to offer the infant during hospitalization?
Correct Answer: A
Rationale: three-month-old can grasp a rattle