NCLEX-PN
NCLEX Trainer Test 1 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is postoperative day 1 after a nephrectomy. Which of the following findings should the nurse report immediately?
Correct Answer: B
Rationale: A temperature of 100.8°F suggests infection, a serious post-nephrectomy complication. Options A, C, and D are normal or expected.
Question 2 of 5
The nurse is caring for a client with a history of bipolar disorder.
Correct Answer: C
Rationale: Stating that the medication can be stopped when feeling better indicates a misunderstanding, as lithium requires consistent use to maintain therapeutic levels and prevent mood swings. Hydration, blood monitoring, and sodium awareness are correct.
Question 3 of 5
The nurse is teaching a client about the toxicity of digoxin. Which one of the following statements made by the client to the nurse indicates more teaching is needed?
Correct Answer: D
Rationale: Slow heart rate is related to increased cardiac output and an intended effect of digoxin. The ideal heart rate is above 60 BPM with digoxin. The client needs further teaching.
Question 4 of 5
The nurse is caring for a client who has psoriasis. Which observation by the nurse is most consistent with the diagnosis?
Correct Answer: B
Rationale: Psoriasis typically presents with dry, scaly plaques that may crack and weep, consistent with open lesions. Yellow nails, multicolored lesions, or nerve pain are unrelated.
Extract:
A client who has been complaining of dysuria, urinary frequency, and discomfort in the suprapubic area.
Question 5 of 5
After evaluating the results, the nurse should order a repeat urinalysis based on which of the following findings?
Correct Answer: C
Rationale: Strategy: Determine the significance of each answer choice and how it relates a bladder infection. (1) glucose increases during the inflammation process; it is not a primary component in determining urinary tract infections (2) not as complete a response as answer choice #3 (3) correct-with the client's complaints, WBCs and RBCs should be present; WBCs are a response to the inflammation process and irritation of the urethra; RBCs are increased when bladder mucosa is irritated and bleeding (4) indicates the concentration of the urine