NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is postoperative day 1 after a gastrectomy. 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-gastrectomy complication. Options A, C, and D are normal.
Question 2 of 5
Which of the following indicates that a client is beginning to develop a trusting relationship with the nurse?
Correct Answer: B
Rationale: Sharing feelings indicates trust, a key to therapeutic relationships. Options A, C, and D are less direct indicators.
Question 3 of 5
The nurse is administering lidocaine (Xylocaine) to a client with a myocardial infarction. Which of the following assessment findings requires the nurse's immediate action?
Correct Answer: C
Rationale: One of the side effects of lidocaine is bradycardia, heart block, cardiovascular collapse, and cardiac arrest (this drug should never be administered without continuous EKG monitoring).
Extract:
A client with dementia.
Question 4 of 5
The nurse knows that which of these plans would be MOST successful in caring for a client with dementia?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) unable to learn new skills (2) correct-client with dementia does not have cognitive abilities to learn new skills or to adapt, environment must be adapted for client with attention to safety and predictability (3) requires skills the client with dementia does not have (4) requires skills the client with dementia does not have
Extract:
Question 5 of 5
The nurse is teaching a client with a new diagnosis of hyperthyroidism about propylthiouracil (PTU). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping propylthiouracil when thyroid levels are normal is incorrect, as hyperthyroidism requires prolonged treatment to maintain euthyroid status. Options A, B, and C are correct: fever may indicate agranulocytosis, food reduces GI upset, and shellfish (iodine-rich) should be avoided.