NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Before administering calcium gluconate 10% 500 mg IV stat.
Question 1 of 5
It is MOST important that the nurse assess the
Correct Answer: C
Rationale: Strategy: Determine how each answer choice relates to calcium gluconate. (1) unnecessary in this situation (2) unnecessary in this situation (3) correct-if injected into the extravascular tissues, calcium gluconate can cause a severe chemical burn (4) irrelevant
Extract:
Question 2 of 5
A Schilling test is ordered for a female client who has pernicious anemia. It is to run from 8:00 A.M. to 8:00 A.M. the following day. How should the nurse plan care for this client?
Correct Answer: D
Rationale: The Schilling test requires a 24-hour urine collection starting after discarding the first void at 8:00 A.M. and including the final void at 8:00 A.M. the next day to measure B12 absorption accurately.
Question 3 of 5
What must be the priority consideration for nurses when communicating with children?
Correct Answer: D
Rationale: While each of the factors affects communication, the nurse recognizes that developmental differences have implications for processing and understanding information. Consequently, a child's developmental level must be considered when selecting communication approaches.
Question 4 of 5
A patient is admitted to the surgical unit with a diagnosis of rule out inTest inal obstruction.
Correct Answer: B
Rationale: Elevating the head of the bed to 60°-90° facilitates swallowing and movement of the NG tube through the gastroinTest inal tract, reducing the risk of aspiration and improving patient comfort during insertion. Other positions do not optimize swallowing or tube passage as effectively.
Question 5 of 5
The nurse is caring for a client who is receiving a continuous IV infusion of propofol (Diprivan) for sedation. Which of the following findings would be of GREATest concern to the nurse?
Correct Answer: D
Rationale: An oxygen saturation of 90% is low, indicating hypoxemia, a serious complication of propofol due to respiratory depression, requiring immediate intervention. Options A, B, and C are acceptable: respiratory rate 12 breaths/min, blood pressure 100/60 mmHg, and heart rate 80 bpm are stable.