NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nurse is preparing to suction a client with a new tracheostomy in the postanesthesia recovery room. Which of the following actions, if performed by the nurse, indicates a break in proper technique?
Correct Answer: C
Rationale: break in sterile procedure, suction mouth after trachea
Extract:
A 22-year-old mother of a 4-year-old boy comes to the antepartal clinic. Her second pregnancy has just been confirmed.
Question 2 of 5
During this initial visit, it MOST important for the nurse to
Correct Answer: D
Rationale: Strategy: Think about each answer choice. (1) important data, priority is the here and now (2) important data, but not priority for first visit (3) important data, need to deal with the mother's needs first (4) correct-optimal opportunity for preventative health maintenance
Extract:
A client is scheduled for a cholangiogram. Meglumine diatrizoate (Gastrografin) is ordered for the client.
Question 3 of 5
The nurse should
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-appropriate identification of client is the first nursing priority after the order is verified (five 'rights' of medication administration) (2) unnecessary (3) unnecessary (4) unnecessary
Extract:
Question 4 of 5
The daughter of a 70-year-old patient with cancer asks the nurse, 'Do you believe in euthanasia?' Which of the following responses by the nurse is BEST?
Correct Answer: C
Rationale: open-ended question, allows client to verbalize
Question 5 of 5
The nurse is caring for a client with Cushing's syndrome. Which of the following nursing actions would be of HIGHEST priority?
Correct Answer: D
Rationale: respirations are the first priority; clients with Cushing's syndrome are prone to fluid overload and CHF due to sodium and water retention