NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who is receiving salmeterol (Serevent) via inhaler. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: C
Rationale: Shakiness suggests systemic beta-agonist effects, a concerning side effect of salmeterol in COPD, requiring evaluation to prevent tachycardia or arrhythmias. Options A, B, and D are less concerning: twice-daily use is standard, dry mouth is common, and rinsing is appropriate.
Question 2 of 5
The nurse is administering lidocaine (Xylocaine) to a client with a myocardial infarction. Which of the following assessment findings requires the nurse's immediate action?
Correct Answer: C
Rationale: One of the side effects of lidocaine is bradycardia, heart block, cardiovascular collapse and cardiac arrest (this drug should never be administered without continuous EKG monitoring).
Question 3 of 5
The nurse is discussing nutritional requirements with the parents of an 18 month-old child. Which of these statements about milk consumption is correct?
Correct Answer: D
Rationale: Should be limited to 3-4 cups of milk daily. Excessive milk intake can reduce consumption of other nutrients.
Question 4 of 5
The nurse is planning care for a client with a diagnosis of paranoid schizophrenia. The nurse knows that questioning the client about his false ideas will
Correct Answer: A
Rationale: contraindicated; encourages patient to engage in further distortion of reality
Extract:
A newborn.
Question 5 of 5
While performing a physical examination on a newborn, which of the following nursing assessments should be reported to the doctor?
Correct Answer: A
Rationale: Strategy: Determine if the assessment is abnormal. (1) correct-average circumference of the head for a neonate ranges from 32 to 36 cm; increase in size may indicate hydrocephaly or increased intracranial pressure (2) normal newborn assessment (3) normal newborn assessment (4) normal newborn assessment