NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
The nurse is reviewing client assignments on a medical/surgical unit.
Question 1 of 5
The nurse determines that the assignment is appropriate if the nursing assistant is caring for which of the following clients?
Correct Answer: A
Rationale: Strategy: Assign clients with standard, unchanging procedures. (1) correct-standard, unchanging procedure (2) assign to the RN (3) assign to the RN (4) assign to the RN
Extract:
Question 2 of 5
The nurse is caring for a client who was admitted following a motor vehicle accident. The client's blood pressure one hour ago was 118/76, and pulse was 80; now the blood pressure is 90/60, and pulse is 98. What action should the nurse take initially?
Correct Answer: D
Rationale: A significant drop in blood pressure with increased pulse suggests shock or bleeding, requiring immediate physician notification. Monitoring, rechecking, or leg elevation delays care.
Question 3 of 5
A 70-year-old man with a history of hypertension and closed-angle glaucoma visits the clinic for a routine check-up. Which of the following medications, if ordered by the physician, should the nurse question?
Correct Answer: C
Rationale: contraindicated; ophthalmic vasoconstrictor, contraindicated with closed angle glaucoma; use cautiously with hypertension
Extract:
During auscultation of the fetal heart rate during labor, the nurse assesses a rate of 59 beats per minute.
Question 4 of 5
The FIRST action the nurse should take is
Correct Answer: B
Rationale: Strategy: 'FIRST' indicates that this is a priority question. All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) should be placed on left side to increase blood flow to the uterus (2) correct-persistent fetal bradycardia may indicate cord compression or separation of the placenta, but always indicates fetal distress, left side reduces compression of vena cava and aorta (3) should be done after positioning patient (4) this position is used only if there is cord prolapsed
Extract:
Question 5 of 5
During the admission assessment on a client with chronic bilateral glaucoma, which statement by the client would the nurse anticipate since it is associated with this problem?
Correct Answer: C
Rationale: I have to turn my head to see my room. Intraocular pressure becomes elevated, producing a progressive loss of the peripheral visual field in the affected eye.