NCLEX Questions, NCLEX Trainer Test 5 Questions, NCLEX-PN Questions, Nurselytic

Questions 156

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 5 Questions

Extract:


Question 1 of 5

Four clients have signaled with their call bell for the nurse. Who should the nurse observe first?

Correct Answer: C

Rationale: A client recently given penicillin is at risk for an allergic reaction, including anaphylaxis, requiring immediate observation. Bathroom assistance, pain, or chair positioning are less urgent.

Question 2 of 5

The nurse is to administer Lanoxin(digoxin) elixir to a 6-month old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100 . The nurse should:

Correct Answer: B

Rationale: A pulse of 100 in a 6-month-old is normal (80-150 bpm), so the nurse should administer digoxin . Calling the physician or holding the dose is unnecessary. Rechecking later is not standard.

Extract:

An older man is being prepared for discharge after treatment for dehydration.


Question 3 of 5

Which of the following statements, if made by the patient to the nurse, indicates that further teaching is needed?

Correct Answer: A

Rationale: Strategy: Determine how each answer choice relates to dehydration. Be careful, this is a negative question. (1) correct-would only indicate overhydration, not response to dehydration (2) will help prevent recurrence of dehydration, should force fluids to 3,000 cc/day (3) would give good indication of total intake (4) would indicate postural hypotension resulting from volume deficit

Extract:


Question 4 of 5

The LPN/LVN is to perform a sterile procedure. Which action will maintain a sterile field?

Correct Answer: A

Rationale: Keeping the sterile field in view ensures no contamination occurs, maintaining sterility during the procedure.

Question 5 of 5

The provisions of the law for the Americans with Disabilities Act require nurse managers to

Correct Answer: B

Rationale: The law is designed to permit persons with disabilities access to job opportunities. Employers must evaluate an applicant's ability to perform the job and not discriminate on the basis of a disability. Employers also must make 'reasonable accommodations.'

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