NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
A client who is a gravida 2, para 1 has been admitted for induction of labor with oxytocin (Pitocin).
Question 1 of 5
It would be MOST important for the nurse to take which of the following actions?
Correct Answer: D
Rationale: Strategy: The topic of the question is unstated. Read the answer choices for clues. (1) Pitocin should be a secondary infusion (2) normal range for fetal heart tones is 120 to 160 beats per minute (3) rate should be maintained by an infusion pump (4) correct-Pitocin should always be a secondary infusion controlled by an IV pump
Extract:
The nurse is obtaining a history on a client just admitted to the unit. The client informs the nurse that any information shared with the nurse during the interview is to remain confidential.
Question 2 of 5
Which of the following responses by the nurse is BEST?
Correct Answer: B
Rationale: Strategy: Think about the outcome of each answer choice. (1) the nurse has the obligation to share client information with personnel directly involved with the client's care (2) correct-the nurse is obligated to share client information with personnel directly involved with the client's care (3) the nurse must never agree to keep information confidential without knowing the content of the information (4) the nurse not obligated to report information that is not relevant to the client's care or wellbeing
Extract:
Question 3 of 5
A middle-aged adult is seen in the emergency room for complaints of severe right-flank pain. The client is twenty pounds overweight, lives a sedentary lifestyle, and was treated for renal calculi four years ago. Which of the following actions, if performed by the nurse, is MOST important?
Correct Answer: D
Rationale: will document passage of stone and allow composition to be analyzed
Question 4 of 5
The nurse is teaching a client with chronic kidney disease about sevelamer (Renagel). Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Sevelamer binds phosphate during meals, reducing absorption. Options B, C, and D are incorrect.
Question 5 of 5
The nurse is preparing to administer digoxin (Lanoxin) to a client. The client's apical pulse is 56 beats per minute. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: digoxin is held if the apical pulse is below 60 beats per minute in adults to prevent toxicity