NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
The client is being admitted for surgery. During the admission assessment, the client states that she usually has 8 to 10 alcoholic drinks a day. How should the nurse reply?
Correct Answer: C
Rationale: Admitting to 8 to 10 alcoholic drinks a day is suggestive of alcoholism. It is important to know when the client last had a drink of alcohol in order to anticipate the onset of withdrawal symptoms. The type of alcohol the client drinks, how long the client has been drinking, and why the client drinks are not the key issues. The key issue is when to anticipate withdrawal symptoms.
Question 2 of 5
The nurse is to suction a client. What action is essential prior to inserting the suction catheter?
Correct Answer: C
Rationale: Pre-oxygenation prevents hypoxia during suctioning, a critical step. Clearing secretions, lowering the bed, or checking pressure are secondary.
Question 3 of 5
The nurse has a pre-op order to insert a Foley catheter in a male client. The catheter should be inserted:
Correct Answer: D
Rationale: In males, a Foley catheter is inserted 7-9 inches to reach the bladder, ensuring proper placement without trauma.
Question 4 of 5
The nurse is caring for a client who has dentures. Which action by the nurse is not appropriate?
Correct Answer: C
Rationale: Hydrogen peroxide can damage dentures; rinsing with water or denture cleaner is appropriate, making this action incorrect.
Question 5 of 5
Which individual is at greatest risk for developing hypertension?
Correct Answer: A
Rationale: 45 year-old African American attorney. The incidence of hypertension is greater among African Americans than other groups in the US. The incidence among the Hispanic population is rising.