NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Q

Extract:

A 22-year-old mother of a 4-year-old boy comes to the antepartal clinic. Her second pregnancy has just been confirmed.

Question 1 of 5

During this initial visit, it MOST important for the nurse to

Correct Answer: D

Rationale: Strategy: Think about each answer choice. (1) important data, priority is the here and now (2) important data, but not priority for first visit (3) important data, need to deal with the mother's needs first (4) correct-optimal opportunity for preventative health maintenance

Extract:

Question 2 of 5

The nurse is caring for a client with a history of epilepsy.

A. Which precaution is most important for a client with epilepsy? B. Keep the bed in the lowest position. C. Restrict all visitors to reduce stress. D. Administer oxygen during seizures. E. Place a padded tongue blade at the bedside.

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 3 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

A. leave approximately three or four lines for the day nurse to enter the day information and sign the chart. B. review with the client the activities after 1 PM, and enter what are determined to be the activities after 1 PM. C. begin charting on the next line below the last entry, and make a note for the day nurse to make a late entry to complete the chart. D. do not enter anything until the day nurse has been notified of the problem and returns to the unit to complete charting.

Correct Answer: C

Rationale: day nurse can make a 'late entry' to add any additional information

Question 4 of 5

In caring for an elderly client with a depressed affect, which of the following nursing actions would be MOST appropriate to help the client to complete activities of daily living?

A. Medicate the client before the activities begin. B. Develop a written schedule of activities, allowing extra time. C. Assist the client with grooming activities so it doesn't take as long. D. Provide frequent forceful direction to keep the client focused.

Correct Answer: B

Rationale: written schedule with built-in extra time will allow client to understand what is expected and will allow him to participate at a slower pace

Question 5 of 5

The nurse is planning care for a 56-year-old man who returned from surgery for a bowel resection with an IV of 0.9% NaCl infusing at 100 cc/h into his left wrist. Which of the following actions, if performed by the nurse, is BEST?

A. Change the IV tubing each time a new IV solution is hung. B. Cleanse the IV site with an alcohol swab using long strokes. C. Limit manipulation of the cannula at the IV insertion site. D. Adjust the drop rate to keep the total volume of IV fluids on schedule.

Correct Answer: C

Rationale: will prevent dislodgment of needle