NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nurse is assessing a client with a diagnosis of detached retina. Which of the following observations would support this diagnosis?
Correct Answer: D
Rationale: bright flashes of light and client stating that portion of visual field is dark are classic symptoms
Question 2 of 5
Which of the following assessments would be a priority when documenting the nursing history of a two-year-old child?
Correct Answer: A
Rationale: during a crisis such as hospitalization, children are able to establish a sense of security through consistency of the rituals and routines from home
Question 3 of 5
While planning care for an elderly client with dementia, which of the following should be a priority for the nurse?
Correct Answer: D
Rationale: is most effective when communicating with an elderly client
Extract:
A client who is a gravida 2, para 1 has been admitted for induction of labor with oxytocin (Pitocin).
Question 4 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:
A client is admitted to the unit with pregnancy-induced hypertension (PIH).
Question 5 of 5
Which of the following actions is the priority nursing action?
Correct Answer: B
Rationale: Strategy: Answers are a mix of assessments and implementations. Does this situation require assessment? Yes. Is there an appropriate assessment? Yes. (1) implementation, not a priority action (2) correct-assessment, important to do a baseline assessment in order to successfully evaluate the treatment (3) implementation, not a priority action (4) implementation, not a priority action