NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving mechanical ventilation. The high-pressure alarm sounds. Which of the following actions should the nurse take FIRST?
Correct Answer: A
Rationale: high-pressure alarms are often caused by obstructions such as kinks in the tubing or mucus in the airway
Question 2 of 5
The nurse is caring for a toddler in traction, and the toddler is receiving chloral hydrate (Noctec). The toddler becomes irritable and extremely restless. Which nursing action is MOST appropriate?
Correct Answer: B
Rationale: Irritability and restlessness suggest a paradoxical reaction to chloral hydrate, requiring physician notification for medication adjustment. Options A, C, and D are unsafe or ineffective.
Question 3 of 5
A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic.
Correct Answer: A
Rationale: Glucose and acetone in urine suggest possible gestational diabetes, which can lead to placental insufficiency and fetal complications, requiring immediate evaluation. Mild edema, increased vaginal discharge, and diaphragmatic pressure are common in late pregnancy and not necessarily indicative of complications.
Question 4 of 5
A young client with a postoperative abdominal abscess had a drain inserted. Which of the following assessments by the nurse is BEST?
Correct Answer: B
Rationale: with this complication, the character of the drainage, purulent or otherwise, is a major priority to note and report
Question 5 of 5
The physician prescribes cimetidine (Tagamet) 300 mg PO qid for a 75-year-old man. The nurse instructs the client about the medication. Which of the following statements, if made by the client, would indicate that further teaching is needed?
Correct Answer: C
Rationale: no change in stool color