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 client who is receiving a continuous IV infusion of heparin. Which of the following laboratory results should the nurse report immediately?
Correct Answer: A
Rationale: A PTT of 90 seconds is above the therapeutic range (60–80 seconds), increasing bleeding risk. Options B, C, and D are normal.
Question 3 of 5
A four-week-old infant with symptoms of pyloric stenosis is brought to the outpatient clinic by his mother. Which of the following statements would the nurse expect the mother to make about her son's symptoms?
Correct Answer: C
Rationale: becomes lethargic, dehydrated, and malnourished
Question 4 of 5
A client reports that he has been vomiting for three days, has a low-grade temperature, and feels lethargic. Which Ivanof the following nursing actions is MOST appropriate in evaluating for fluid volume deficit?
Correct Answer: B
Rationale: daily weight is the best way to evaluate for fluid volume deficit
Question 5 of 5
A client comes to the clinic complaining of severe facial pain. In order to collect subjective data from the client, it is MOST important for the nurse to
Correct Answer: B
Rationale: subjective data is collected in the health history or interview