NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nurse is assessing a pregnant client with problems of mitral stenosis and congestive heart failure (CHF). Which of the following in the client's history would have a direct correlation with her current problem?
Correct Answer: A
Rationale: most common cause of mitral valve problems is a history of rheumatic fever with a subsequent complication of carditis, which affects the valve
Question 2 of 5
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen at 2 L/min via nasal cannula. The client reports increased shortness of breath. Which of the following actions should the nurse take FIRST?
Correct Answer: B
Rationale: checking oxygen saturation provides objective data to assess the client's respiratory status
Question 3 of 5
A 19-year-old college student has a Mantoux test performed at the college health clinic. The result is positive. The clinic nurse should
Correct Answer: A
Rationale: will perform chest x-ray
Question 4 of 5
The home care nurse instructs the wife of a client about how to perform a wet-to-dry abdominal dressing for her husband with an infected abdominal incision. The nurse should intervene in which of the following situations?
Correct Answer: A
Rationale: contraindicated, remove dry so wound debris and necrotic tissue are removed with old dressing
Extract:
The nurse has just received report from the previous shift.
Question 5 of 5
Which of the following clients should the nurse see FIRST?
Correct Answer: C
Rationale: Strategy: Determine the least stable client. (1) not an immediate concern (2) PTT is within normal limits, should give medication (3) correct-indicates hypersensitivity reaction, should stop medication and notify the physician (4) should decrease rate to prevent irritation of the vein