NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of heart failure who is receiving carvedilol (Coreg) 6.25 mg PO bid. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Hypotension (90/60 mmHg) is a serious carvedilol side effect, risking perfusion in heart failure. Options B, C, and D are normal.
Question 2 of 5
The nurse assesses several post partum women in the clinic. Which of the following women is at highest risk for puerperal infection?
Correct Answer: C
Rationale: A temperature of 100.4 degrees Fahrenheit or higher on 2 successive days, not counting the first 24 hours after birth, indicates a post partum infection.
Question 3 of 5
A man who has diabetes complains of hunger; is pale, shaky, and perspiring; and has cool skin. What is the most appropriate initial action for the nurse?
Correct Answer: B
Rationale: Symptoms indicate hypoglycemia; giving cola provides quick glucose to raise blood sugar. Calling the physician, lying down, or giving insulin delays or worsens the situation.
Question 4 of 5
The nurse is teaching a client with a new diagnosis of glaucoma about latanoprost (Xalatan). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Stopping latanoprost when vision improves is incorrect, as glaucoma requires lifelong treatment to prevent optic nerve damage. Options A, B, and C are correct: bedtime dosing is standard, eye pain may indicate complications, and avoiding rubbing prevents irritation.
Question 5 of 5
The nurse’s INITIAL priority when managing a physically assaultive client is to
Correct Answer: C
Rationale: Restoring the client’s self-control is the initial priority to ensure safety and prevent escalation. This involves assessing the situation, using psychological or chemical interventions, and possibly physical control. Room restriction, supervision, or clearing the area are secondary or impractical during rapid escalation.