NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is receiving a continuous IV infusion of midazolam (Versed) for sedation. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: An oxygen saturation of 90% indicates hypoxemia, a serious midazolam side effect. Options A, B, and C are acceptable: respiratory rate is low but stable, BP is mildly low, and heart rate is normal.
Question 2 of 5
The nurse should anticipate the client with a gastric ulcer to have pain
Correct Answer: D
Rationale: pain related to a gastric ulcer occurs about one-half to one hour after a meal and rarely at night; is not helped by ingestion of food
Question 3 of 5
A baby is delivered following a pregnancy complicated by gestational diabetes. What should the nurse observe the baby for?
Correct Answer: D
Rationale: Infants of mothers with gestational diabetes are at risk for hypoglycemia due to high fetal insulin levels from maternal hyperglycemia, requiring close monitoring.
Question 4 of 5
A female client diagnosed with genital herpes simplex virus 2 (HSV 2) complains of dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. A primary nursing action with the focus of comfort should be to
Correct Answer: A
Rationale: Suggest 3 to 4 warm sitz baths per day. Frequent sitz baths may soothe the area and reduce inflammation, addressing the client's symptoms effectively.
Question 5 of 5
The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that the client
Correct Answer: B
Rationale: Should alternate ambulation with bed rest with legs elevated. Encourage alternating periods of ambulation and bed rest with legs elevated to mobilize edema and ascites.