NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 of 5
Because a client is taking rifampin (Rimactane), what must the nurse include when discussing medications with the client?
Correct Answer: D
Rationale: Rifampin commonly causes red-orange discoloration of urine and sweat, a harmless side effect clients should be informed about to avoid alarm.
Question 2 of 5
A 69-year-old woman has been receiving total parenteral nutrition (TPN) for several weeks. If the TPN were abruptly discontinued, the nurse would expect the patient to exhibit
Correct Answer: C
Rationale: insulin levels remain high while glucose levels decline; results in hypoglycemia; will also see restlessness, headache, weakness, irritability, apprehension, lack of muscle coordination
Question 3 of 5
The nurse is caring for a client who is 4 days post-op for a transverse colostomy. The client is ready for discharge and asks the nurse to empty his colostomy pouch. What is the best response by the nurse?
Correct Answer: D
Rationale: Most adult learners obtain skills by participating in the activities. Anxiety about discharge can be causing the client to forget that they have mastered the skill of emptying the pouch. The client should show the nurse how the pouch is emptied.
Extract:
An eight-month-old infant.
Question 4 of 5
The nurse should look for which of the following in assessing pain in an eight-month-old infant?
Correct Answer: D
Rationale: Strategy: Think about each assessment. (1) pulse rate would increase (2) nonspecific regarding pain (3) does not reflect pain (4) correct-since an infant cannot talk, nurse needs to be aware of nonverbal signs of pain, such as rubbing the ear because of an earache
Extract:
A 35-year-old woman receiving metronidazole (Flagyl) 250 mg PO tid for 7 days.
Question 5 of 5
Which of the following statements, if made by the woman, would indicate that teaching has been effective?
Correct Answer: B
Rationale: Strategy: 'Teaching has been effective' indicates a correct statement. (1) given with meals to decrease GI upset (2) correct-causes Antabuse-like reaction of nausea and vomiting, headache, cramps, flushing (3) frequently seen, not a problem (4) sensitivity to sun not seen with this medication