NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is postoperative day 1 after a laparoscopic cholecystectomy. Which of the following findings would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: A temperature of 100.8°F suggests infection, a serious complication post-cholecystectomy requiring immediate evaluation. Options B, C, and D are expected: incision pain is normal, shoulder pain is from referred diaphragmatic irritation, and urine output 40 mL/hour is adequate.
Question 2 of 5
A nurse receives a report on a client 3 days postoperative abdominal surgery that includes four saturated dressing changes in 8 hours. On assessment of this client, dehiscence and evisceration of the wound are noted. After applying a sterile, moistened 4-x-4, what is the nurse's next action?
Correct Answer: B
Rationale: After the saline dressing is applied, the RN should be notified—probable repair is necessary. Answer A is wrong because low Fowler's position should be used. Answer C will not help, so it's incorrect. Answer D is inappropriate at this time, so it's incorrect.
Question 3 of 5
A 66-year-old woman is being evaluated for pernicious anemia. Which assessment findings would be most apt to be present in a client with pernicious anemia?
Correct Answer: B
Rationale: Pernicious anemia, due to vitamin B12 deficiency, often causes neurological symptoms like leg pain or paresthesia. Bruising, rashes, or pruritus are less specific to this condition.
Extract:
A one-year-old child.
Question 4 of 5
While doing a physical examination of a one-year-old child, which of the following assessments should be done by the nurse LAST?
Correct Answer: A
Rationale: Strategy: Picture the situation. (1) correct-all invasive procedures should be done last, so as not to alter cardiopulmonary assessment of the child (2) should be done before a rectal temperature (3) should be done before a rectal temperature (4) should be done before a rectal temperature
Extract:
Question 5 of 5
A client diagnosed with chronic depression is maintained on tranylcypromine (Parnate). An important nursing intervention is to teach the client to avoid which of the following foods?
Correct Answer: A
Rationale: These foods are tyramine-rich and ingestion of these foods while taking monoamine oxidase inhibitors (MAOIs) can precipitate a life-threatening hypertensive crisis.