NCLEX Questions, NCLEX Trainer Test 10 Questions, NCLEX-PN Questions, Nurselytic

Questions 227

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 10 Questions

Extract:


Question 1 of 5

The nurse is caring for a patient following surgery for a coronary artery bypass graft (CABG). Which of the following symptoms would the nurse expect to see if the patient was in the early stages of circulatory overload?

Correct Answer: A

Rationale: will see dyspnea, cough, edema, hemoptysis

Extract:

The nurse performs a routine IV tubing change on a 55-year-old woman with a central line. Fifteen minutes later, the nurse reenters the patient's room to find her cyanotic, short of breath, and complaining of pain. Her vital signs are BP 84/62, pulse 112, respirations 18.


Question 2 of 5

What is the FIRST action the nurse should take?

Correct Answer: B

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) second action, first should respond to potential problem of emboli (2) correct-air will rise to right atrium, minimizes chance of air bubbles entering cerebral circulation (3) never done with shock, trapped air could travel to pulmonary circulation (4) not first action

Extract:


Question 3 of 5

At approximately 6 PM, the nurse begins to open the nurses' notes for the evening shift. The last entry is noted for 1 PM, and there is no signature. The MOST appropriate nursing response is to

Correct Answer: C

Rationale: day nurse can make a 'late entry' to add any additional information

Question 4 of 5

Which of the following nursing approaches would be MOST appropriate to use while administering an oral medication to a four-month-old?

Correct Answer: B

Rationale: is a convenient method for administering medications to an infant

Question 5 of 5

An older man is seen in the outpatient clinic for treatment of an acute attack of gout.

Correct Answer: B

Rationale: Partial weight bearing reduces pressure and stress on the affected joint, alleviating gout-related pain during ambulation. Passive exercises may worsen pain, immobilization increases stiffness, and restricting walking does not address pain management during necessary movement.

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