NCLEX Questions, NCLEX Trainer Test 8 Questions, NCLEX-PN Qu

Extract:

Question 1 of 5

The nurse is caring for a client who is receiving IV ceftriaxone for a urinary tract 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 normal or less urgent.

Question 2 of 5

The nurse is caring for a client receiving intravenous nitroglycerin for acute angina. What is the most important assessment during treatment?

A. Heart rate B. Neurologic status C. Urine output D. Blood pressure

Correct Answer: D

Rationale: The vasodilatation that occurs as a result of this medication can cause profound hypotension. The client's blood pressure must be evaluated every 15 minutes until stable and then every 30 minutes to every hour.

Extract:

The triage nurse for a women's health center receives a phone call from each of the following women.

Question 3 of 5

Which woman should be directed to come to the health care facility IMMEDIATELY?

A. A multipara woman who is four weeks pregnant and reporting unilateral, dull abdominal pain. B. A primipara woman who is seven weeks pregnant and reporting an increase in whitish vaginal secretions. C. A primigravida woman who is five weeks gestation and is having vaginal spotting and some cramping. D. A multigravida woman who is six weeks pregnant and reporting frank, red vaginal bleeding with moderate cramps.

Correct Answer: A

Rationale: Strategy: Determine the least stable client. (1) correct-needs to be evaluated for an ectopic pregnancy (2) expect during first trimester of pregnancy (3) symptomatic of threatened abortion; instruct to decrease activity (4) symptoms of spontaneous abortion; instruct client to save and count pads

Extract:

Question 4 of 5

The nurse is to open a sterile package. How should the nurse plan to open the first flap?

A. Toward the nurse B. Away from the nurse C. To the right side D. To the left side

Correct Answer: B

Rationale: Opening the first flap away from the nurse maintains sterility by preventing hands from passing over the sterile field. Opening toward the nurse or to the sides risks contamination.

Question 5 of 5

An 8 year-old client is admitted to the hospital for surgery. The child's parent reports the allergies listed below. Which of these allergies should all health care personnel be aware of?

A. Shellfish B. Molds C. Balloons D. Perfumed soap

Correct Answer: C

Rationale: Allergy to balloons indicates a latex allergy. All personnel in contact with the child will need to be aware of this condition and use non-latex gloves.