NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is receiving a continuous IV infusion of dopamine for hypotension. Which of the following findings should the nurse report immediately?
Correct Answer: C
Rationale: Urine output of 20 mL/hour indicates oliguria, suggesting inadequate perfusion despite dopamine. Options A, B, and D are expected.
Extract:
The nurse has just received report from the previous shift.
Question 2 of 5
Which of the following clients should the nurse see FIRST?
Correct Answer: C
Rationale: Strategy: Determine the least stable client. (1) not an immediate concern (2) PTT is within normal limits, should give medication (3) correct-indicates hypersensitivity reaction, should stop medication and notify the physician (4) should decrease rate to prevent irritation of the vein
Extract:
Question 3 of 5
When assessing orientation to person, place, and time for an elderly hospitalized client, which of the following principles should be understood by the nurse?
Correct Answer: B
Rationale: stress of an unfamiliar situation or environment may lead to confusion in elderly clients
Question 4 of 5
A patient received meperidine (Demerol) 75 mg IM 2 hours ago for complaints of pain. The patient turns on his call light and tells the nurse he has to go to the bathroom. The physician has ordered BPR (bathroom privileges). The nurse should
Correct Answer: B
Rationale: side effects of medication include decreased BP, orthostatic hypotension, bradycardia
Question 5 of 5
A middle-aged female client begins outpatient therapy sessions with a psychiatric clinical nurse specialist for management of a phobic disorder. Which of the following nursing interventions should be an initial approach in symptom reduction?
Correct Answer: C
Rationale: phobic disorders are learned responses; learned responses can be unlearned through certain techniques, such as behavioral modification; systematic desensitization is a form of behavior modification; is a strategy used in conjunction with deep muscle relaxation to decrease the extreme response to anxiety-producing situations as they are gradually exposed; then exposure is increased; goal is to eradicate the phobic response by replacing it with the relaxation response