NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
Question 1 of 5
Lithium carbonate is prescribed for an adult. The nurse knows the client is most likely to have which condition?
Correct Answer: B
Rationale: Lithium carbonate is primarily used to stabilize mood in bipolar disorder, particularly for mania.
Question 2 of 5
The nurse is caring for an adult who has myasthenia gravis and is prescribed neostigmine. Which drug should the nurse plan to have readily available because the client is taking neostigmine?
Correct Answer: A
Rationale: Neostigmine, a cholinesterase inhibitor, can cause cholinergic crisis; atropine, an anticholinergic, is the antidote to reverse excessive muscarinic effects.
Question 3 of 5
The nurse is caring for a client in the coronary care unit. The display on the cardiac monitor indicates ventricular fibrillation. What should the nurse do first?
Correct Answer: C
Rationale: Assess for presence of pulse. Verifying the absence of a pulse confirms ventricular fibrillation before proceeding with treatment.
Question 4 of 5
Triage refers to the classification of injury severity during a disaster. Which of the following clients should receive priority during triage?
Correct Answer: B
Rationale: Burns to the head and neck are prioritized due to potential airway compromise, a life-threatening condition. Open fractures, crushing injuries, and minor head injuries are less immediately critical.
Question 5 of 5
The nurse is caring for a client who is postoperative day 1 after a total knee replacement. Which of the following actions is the PRIORITY?
Correct Answer: C
Rationale: Applying the CPM machine is the priority to prevent stiffness and promote joint mobility post-knee replacement. Options A, B, and D are important but secondary: incentive spirometry prevents pneumonia, pain management supports recovery, and dressing checks monitor bleeding.