NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
During the rehabilitative phase, the client's burns become infected with pseudomonas. The topical dressing most likely to be ordered for the client is:
Correct Answer: C
Rationale: Mafenide acetate (Sulfamylon) is particularly effective against Pseudomonas infections due to its broad-spectrum antibacterial activity and ability to penetrate eschar. Silver sulfadiazine is less effective against Pseudomonas, and povidone-iodine and silver nitrate are not the primary choices for Pseudomonas infections. Answers A, B, and D are incorrect because they are less effective for this specific infection.
Question 2 of 5
The nurse and a nursing assistant are preparing to move an elderly immobile client up in the bed using a sheet. The staff should be standing on opposite sides of the bed even with the client's:
Correct Answer: C
Rationale: Positioning at the shoulders aligns staff with the client's upper body, ensuring safe and effective movement.
Question 3 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.
Extract:
A 60-year-old man with a diagnosis of pneumonia.
Question 4 of 5
The nurse should place the patient in a room with which of the following patients?
Correct Answer: C
Rationale: Strategy: Determine the transmission of organisms. (1) patient with fractures are considered 'clean,' don't place with an infectious patient (2) don't know the cause of the fever (3) correct-generalized nonfollicular infection that involves deeper connective tissue, both patients have infections (4) elderly are high risk for developing pneumonia
Extract:
Question 5 of 5
The nurse is caring for a client after dental surgery. The dentist has prescribed ibuprofen (Motrin IB) 600 mg PO. The nurse would be MOST concerned if the client made which of the following statements?
Correct Answer: A
Rationale: Ibuprofen risks gastroinTest inal bleeding in clients with a peptic ulcer history. Options B, C, and D are not contraindications.