NCLEX Questions, NCLEX Trainer Test 5 Questions, NCLEX-PN Questions, Nurselytic

Questions 156

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 5 Questions

Extract:


Question 1 of 5

The nurse is caring for a 1 year-old child who has 6 teeth. What is the best way for the nurse to give mouth care to this child?

Correct Answer: A

Rationale: Using a moist soft brush or cloth to clean teeth and gums. The nurse should use a soft cloth or soft brush to do mouth care so that the child can adjust to the routine of cleaning the mouth and teeth.

Question 2 of 5

A client is receiving a nitroglycerin infusion for unstable angina. What assessment would be a priority when monitoring the effects of this medication?

Correct Answer: A

Rationale: Since an effect of this drug is vasodilation, the client must be monitored for hypotension.

Question 3 of 5

One hour after receiving 7 U of regular insulin, the client presents with diaphoresis, pallor, and tachycardia. The priority nursing action would be to

Correct Answer: C

Rationale: Diaphoresis, pallor, and tachycardia indicate hypoglycemia, a medical emergency. Milk and crackers provide fast-acting carbohydrates. Options A, B, and D delay treatment or are reserved for severe cases.

Question 4 of 5

A 3-year-old with coarctation of the aorta is scheduled for corrective surgery. Which preoperative lab result should be reported to the physician?

Correct Answer: B

Rationale: A WBC of 14,000 suggests possible infection, which should be reported before surgery, so B is correct. HCT 48% , platelet count 200,000 , and RBC 5.3 are within normal ranges.

Question 5 of 5

Which of the following nursing interventions is MOST important when caring for a client who has just been placed in physical restraints?

Correct Answer: B

Rationale: assessment; while a client is restrained, physiological integrity is important; monitoring positioning, tightness, and peripheral circulation is essential; nurse documents the client's response and clinical status after being restrained

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