NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
A client admitted with acute hypoparathyroidism.
Question 1 of 5
It is MOST important for the nurse to have which of the following items available?
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-tracheostomy set is the most important for the client's safety due to risk for laryngospasm (2) nice to have, but not the most important (3) nice to have, but not the most important (4) unnecessary
Extract:
The nurse is admitting a client to the unit from the postoperative recovery area after abdominal exploratory surgery.
Question 2 of 5
After determining the client's vital signs, which of the following activities should the nurse perform next?
Correct Answer: C
Rationale: Strategy: Answers are a mix of assessments and implementations. Does this situation require assessment? Yes. (1) implementation, complete assessment first (2) assessment, determine what is happening to the patient now (3) correct-assessment, dressing should be checked on admission to the room and frequently for the next several hours (4) inappropriate assessment, it is too soon for infection to occur secondary to surgery
Extract:
Question 3 of 5
The home health nurse visits a client who is six-weeks postpartum.
Correct Answer: C
Rationale: Painful sexual intercourse six weeks postpartum is abnormal and may indicate infection, episiotomy complications, or other issues requiring immediate evaluation. Hot flashes, pinkish discharge, and fatigue are common during the postpartum period as the body recovers.
Question 4 of 5
The nurse is performing a post-op assessment of an elderly client with a total hip repair. Although he has not requested medication for pain, the nurse suspects that the client's discomfort is severe and prepares to administer pain medication. Which of the following signs would not support the nurse's assessment of acute post-op pain?
Correct Answer: D
Rationale: Acute pain typically increases heart rate, blood pressure, and pupil dilation. Decreased heart rate is not consistent with acute pain.
Extract:
The nurse is performing in-service education about the use of the defibrillator.
Question 5 of 5
Which of the following statements, if made by the nurse, is MOST important?
Correct Answer: A
Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-is a priority to prevent accidental countershock (2) equipment should be checked every eight hours (3) equipment should remain plugged in at all times (4) is not a priority; while this should not occur, it can be safely done