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

Questions 156

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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.'

Similar Questions

A 3-year-old child who is up to date with all immunizations is seen at clinic. The child has a fever of 102°F and a pruritic rash with fluid-filled vesicles that began on the trunk. The physician says the child has varicella. The child's mother says to the nurse, 'I thought my child couldn't get this because she had all her shots.' What is the best response for the nurse to make?
A nurse is assessing a patient that has undergone a recent CABG. The nurse notices a mole with irregular edges with a bluish color. The nurse should:
An adult who has chronic obstructive pulmonary disease (COPD) is receiving oxygen at home via nasal cannula. In addition to instructing the client and his family about not smoking when oxygen is in use, what should the nurse plan to include in the teaching?
The nurse is caring for a woman who is admitted following a beating by her husband. The woman says, 'It wasn't really his fault. Dinner was late.' The husband arrives to visit his wife with a large bouquet of flowers and a box of chocolates. The woman later says to the nurse, 'He feels so bad about what he did and says it will never happen again.' What concept should guide the nurse when replying to the client?
The nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse's immediate attention?

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