NCLEX-PN
NCLEX Trainer Test 3 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of atrial fibrillation.
Correct Answer: C
Rationale: Warfarin is the standard anticoagulant for preventing thromboembolism in atrial fibrillation, reducing stroke risk. Aspirin and clopidogrel are antiplatelets, and heparin is used short-term or in acute settings.
Question 2 of 5
Following a diagnosis of acute glomerulonephritis (AGN) in their 6 year-old child, the parents remark: 'We just don't know how he caught the disease!' The nurse's response is based on an understanding that
Correct Answer: D
Rationale: It is not 'caught' but is a response to a previous B-hemolytic strep infection. AGN is generally accepted as an immune-complex disease in relation to an antecedent streptococcal infection of 4 to 6 weeks prior.
Question 3 of 5
An adult is admitted with gastroenteritis. The physician has ordered prochlorperazine (Compazine) 10 mg PO tid PRN or prochlorperazine (Compazine) 5 mg suppository every 6 hours PRN and loperamide (Imodium) 2 mg PO PRN. The client has an episode of diarrhea and complains of nausea. What should the nurse administer?
Correct Answer: C
Rationale: Nausea and diarrhea warrant both prochlorperazine (anti-emetic) and loperamide (anti-diarrheal) orally, addressing both symptoms effectively.
Question 4 of 5
A client arrives at the emergency room with an HR of 120, an RR of 48, and hemoptysis. The nurse should give priority to:
Correct Answer: B
Rationale: Hemoptysis and tachypnea suggest respiratory distress, so oxygen administration is the priority to stabilize the client.
Question 5 of 5
A nurse assigned to a manipulative client for 5 days becomes aware of feelings of reluctance to interact with the client. The next action by the nurse should be to
Correct Answer: A
Rationale: The nurse who experiences stress in the therapeutic relationship can gain objectivity through supervision. The nurse must attempt to discover attitudes and feelings in the self that influence the nurse-client relationship.