NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
The nurse is caring for an adult who had a cervical laminectomy this morning. In addition to routine vital signs, what should the nurse assess because of the location of the surgery?
Correct Answer: B
Rationale: Cervical laminectomy affects the cervical spine, which innervates upper extremities; assessing hand grasps evaluates neurological function. Pedal pulses, radial pulse, and urine output are unrelated.
Extract:
A 21-year-old primipara in active labor.
Question 2 of 5
The nurse observes a new graduate nurse palpating the uterine contractions of a 21-year-old primipara in active labor. Which of the following actions, if taken by the new graduate nurse, is MOST appropriate?
Correct Answer: C
Rationale: Strategy: 'MOST appropriate' indicates that this is a priority question. All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) palpations should be done with fingertips, not palms of hands (2) palpations should be done with fingertips, not heels of hands (3) correct-done with fingertips (4) palpations should be done with fingertips, not palms of hands
Extract:
Question 3 of 5
Which of the following statements reflects Kohlberg's theory of the moral development of the preschool-age child?
Correct Answer: D
Rationale: In Kohlberg's preconventional stage (preschoolers), moral behavior is driven by consequences (punishment or reward). Obedience, respect, or pleasing others reflect later stages.
Extract:
The physician prescribes sucralfate (Carafate) 1 gm PO tid and 2 Maalox tablets tid for a 50-year-old man in the outpatient clinic.
Question 4 of 5
The client asks the nurse when to take these medications. The nurse should advise the man to take
Correct Answer: D
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) Maalox (antacids) decreases bonding to GI mucosa, don't give within 30 minutes of each other (2) Carafate best results on empty stomach, antacids decrease bonding to GI mucosa, so don't give within 30 minutes of each other (3) antacids decrease bonding to GI mucosa, so don't give within 30 minutes of each other (4) correct-Carafate has best results on empty stomach
Extract:
Question 5 of 5
The nurse is caring for a client who is receiving IV fluids at 100 mL/hour. Which of the following findings should the nurse report immediately?
Correct Answer: C
Rationale: Jugular vein distension suggests fluid overload, a serious complication. Options A, B, and D are normal.