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

Extract:

Question 1 of 5

The nurse is caring for a client with a history of atrial fibrillation who is receiving warfarin (Coumadin) 5 mg PO daily. Which of the following laboratory results should the nurse report immediately?

Correct Answer: A

Rationale: An INR of 3.5 is above the therapeutic range (2.0–3.0), increasing bleeding risk. Options B, C, and D are normal.

Question 2 of 5

Which finding indicates a need for further assessment of the client scheduled for a magnetic resonance imaging?

A. The client is an insulin-dependent diabetic. B. The client refuses a corner bed. C. The client is allergic to shellfish. D. The client has a history of asthma.

Correct Answer: C

Rationale: Shellfish allergy may indicate iodine sensitivity, relevant for MRI contrast dye, requiring further assessment. Diabetes , bed preference , and asthma are not contraindications.

Question 3 of 5

An adult is admitted with histoplasmosis. What is most likely to be in the client's history because he has histoplasmosis?

A. He is a chicken farmer. B. He ate raw shellfish recently. C. He consumed contaminated water. D. He drinks raw milk.

Correct Answer: A

Rationale: Histoplasmosis is caused by inhaling Histoplasma spores, often found in bird or bat droppings, common in chicken farming environments, unlike shellfish, water, or milk.

Question 4 of 5

A clinic nurse is taking a health history from a 34-year-old man newly diagnosed with Buerger's disease. The nurse would expect the client's complaints to include

A. heart palpitations. B. dizziness when walking. C. blurred vision. D. digital sensitivity to cold.

Correct Answer: D

Rationale: vasculitis of blood vessels in upper and lower extremities

Extract:

A client develops severe, crushing chest pain radiating to the left shoulder and arm.

Question 5 of 5

Which of the following PRN medications should the nurse administer?

A. Diazepam (Valium) PO. B. Meperidine (Demerol) IM. C. Morphine sulfate IV. D. Nitroglycerine (Nitrostat) SL.

Correct Answer: C

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) not an appropriate medication in this situation; antianxiety medication (2) Demerol is less commonly used because it may induce vomiting and initiate a vagal response (3) correct-morphine sulfate is given to reduce pain, anxiety, and cardiac workload; reduces the preload and afterload pressures (4) although a client at home may have taken NTG SL, the nurse would administer it IV to reduce pain and decrease overload