NCLEX Questions, NCLEX Trainer Test 4 Questions, NCLEX-PN Questions, Nurselytic

Questions 157

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 4 Questions

Extract:


Question 1 of 5

The nurse is caring for a client who is receiving IV vancomycin for a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following findings should the nurse report immediately?

Correct Answer: B

Rationale: A temperature of 100.8°F suggests worsening infection, requiring immediate reporting. Options A, C, and D are less urgent or normal.

Question 2 of 5

Which laboratory result would be expected during the emergent phase of a burn injury?

Correct Answer: A

Rationale: Glucose levels rise as a result of the stress response during the emergent phase. Answers B, C, and D are within normal range. K+ and Na+ would be elevated, whereas albumin would be lowered during the emergent period due to increased permeability.

Question 3 of 5

A client is being discharged following insertion of a permanent set pacemaker. A client with a permanent set pacemaker should be taught:

Correct Answer: C

Rationale: Modern pacemakers adjust their rate based on activity (rate-responsive pacing), so the client should understand that increased activity may require pacemaker adjustments.

Extract:

A bipolar patient refuses to put down the mop that he is swinging to threaten other patients and staff.


Question 4 of 5

What information is MOST important for the nurse to consider before administering a PRN IM dose of lorazepam (Ativan)?

Correct Answer: C

Rationale: Strategy: Think about each answer choice. (1) use the least restrictive interventions in ascending order (2) use the least restrictive interventions in ascending order (3) correct-use the least restrictive interventions in ascending order (4) use the least restrictive interventions in ascending order

Extract:


Question 5 of 5

Which action by the client indicates an acceptance of his recent amputation?

Correct Answer: C

Rationale: Asking about a prosthesis indicates the client is planning for future mobility and adapting to the amputation, a strong sign of acceptance. Verbalizing acceptance is less specific, looking at the site may indicate curiosity or distress, and silence suggests denial or withdrawal.

Similar Questions

Access More Questions!

NCLEX PN Basic


$89/ 30 days

 

NCLEX PN Premium


$150/ 90 days