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

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NCLEX Trainer Test 5 Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is in ketoacidosis. Which blood gas values are most consistent with the diagnosis?

Correct Answer: B

Rationale: Diabetic ketoacidosis causes metabolic acidosis: low pH, low HCO3, and low pCO2 due to compensatory hyperventilation.

Question 2 of 5

Because a client is taking rifampin (Rimactane), what must the nurse include when discussing medications with the client?

Correct Answer: D

Rationale: Rifampin commonly causes red-orange discoloration of urine and sweat, a harmless side effect clients should be informed about to avoid alarm.

Question 3 of 5

A 16-year-old client is admitted for elective surgery. The LPN is asked to have the child's mother sign the operative permit. Which action by the nurse is most appropriate?

Correct Answer: A

Rationale: For minors, a parent or guardian must sign the operative permit, as they provide legal consent for the procedure.

Question 4 of 5

According to Erickson's stage of growth and development, the developmental task associated with middle childhood is:

Correct Answer: D

Rationale: Middle childhood (ages 6-12) is associated with the developmental task of industry, where children focus on competence and achievement.

Extract:

A client who is receiving hydralazine (Apresoline) q6h has a blood pressure of 90/60.


Question 5 of 5

Which of the following nursing actions would be MOST appropriate?

Correct Answer: A

Rationale: Strategy: Answers are a mix of assessments and implementations. Is there an appropriate assessment? No. Determine the outcome of the implementations. (1) correct-BP of 90/60 is too low for an additional dose of medication, withholding the medication and checking with the doctor is appropriate (2) assessment, appropriate nursing action for a client on an antihypertensive that has diuretic effects due to increased blood flow to the kidney, not a priority in this instance (3) unnecessary (4) appropriate nursing action for a client on an antihypertensive that has diuretic effects due to increased blood flow to the kidney, not a priority in this instance

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