NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
The nurse is caring for a client with a history of chronic kidney disease who is receiving hemodialysis. Which of the following findings should the nurse report immediately?
Correct Answer: D
Rationale: A temperature of 100.8°F suggests infection, a serious complication in hemodialysis patients due to their immunocompromised state and vascular access. Options A, B, and C are normal: BP is stable, 1 kg weight gain is expected fluid retention, and a strong thrill indicates a patent fistula.
Question 2 of 5
Which information should be given to a client taking Dilantin (phenytoin)?
Correct Answer: C
Rationale: Phenytoin can cause gingival hyperplasia, necessitating more frequent dental visits for gum care.
Extract:
A client with stage-four Parkinson's disease.
Question 3 of 5
In developing discharge plans with the family of the client with stage-four Parkinson's disease, it is MOST important for the nurse to include which of the following activities?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) client would be unable to ambulate (2) correct-in stage four Parkinson's disease, client is immobile (3) client cannot perform activities that require small-muscle dexterity (4) client cannot perform activities that require small-muscle dexterity
Extract:
The nurse is making a home visit for a client with an abdominal wound.
Question 4 of 5
When irrigating the draining wound with a sterile saline solution, which of the following sequences would be MOST appropriate for the nurse to follow?
Correct Answer: B
Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) hands should be washed first (2) correct-handwashing should be done prior to beginning any procedure, especially irrigating a wound (3) using sterile gloves to remove the dressing would contaminate them (4) hands should be washed first
Extract:
Question 5 of 5
The nurse is caring for a client who is postoperative day 1 after a total hysterectomy. Which of the following findings should the nurse report immediately?
Correct Answer: B
Rationale: A temperature of 100.8°F suggests infection, a serious post-hysterectomy complication. Options A, C, and D are normal.