NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
The nurse is aware that which of the following assessments would be indicative of hypocalcemia?
Correct Answer: D
Rationale: positive Trousseau's sign is indicative of neuromuscular hyperreflexia associated with hypocalcemia
Question 2 of 5
The nurse is preparing a client for a kidney-ureter-bladder x-ray (KUB). What is included in the preparation?
Correct Answer: B
Rationale: Explaining the procedure reduces anxiety and ensures cooperation, a key preparation for a non-invasive KUB x-ray.
Question 3 of 5
A woman at 38-weeks gestation comes to the emergency room with complaints of vaginal bleeding.
Correct Answer: A
Rationale: Placenta previa is characterized by painless vaginal bleeding, as the placenta covers the cervical os. The statement ‘I feel fine, but the bleeding scares me’ indicates bleeding without pain, consistent with placenta previa. Nausea, activity-related bleeding, or cramps suggest other causes like abruptio placentae.
Question 4 of 5
The nurse is caring for a client with a history of deep vein thrombosis.
Correct Answer: D
Rationale: Bed rest with leg elevation reduces venous pressure and prevents clot dislodgement in DVT. Analgesics and compresses are supportive, and active exercises risk embolization.
Extract:
The nurse has administered sublingual nitroglycerin (Nitrostat) to a client complaining of chest pain.
Question 5 of 5
Which of the following observations is MOST important for the nurse to report to the next shift?
Correct Answer: B
Rationale: Strategy: The topic of the question is unstated. Read answer choices for clues. (1) not a side effect of this medication (2) correct-hypotension is significant side effect of nitroglycerin; although effect may be transient, BP should be closely observed to ensure that it does not continue to decrease (3) not a side effect of this medication (4) an expected outcome