NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nurse is receiving a bedside report from another nurse. The nurse giving the report begins to talk about another client. Which action by the nurse receiving the report is MOST appropriate?
Correct Answer: A
Rationale: client confidentiality is being violated, nurse should intervene to protect client
Question 2 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 3 of 5
The nursing care plan for a five-year-old with a closed head injury should contain which of the following?
Correct Answer: B
Rationale: early signs of increased intracranial pressure are alterations in orientation
Question 4 of 5
A three-month-old patient is experiencing increased intracranial pressure (ICP). Which of the following assessment findings should the nurse report to the physician?
Correct Answer: B
Rationale: sign of increased intracranial pressure
Question 5 of 5
The nurse is caring for a client who is postoperative day 1 following a total knee replacement. Which of the following findings should the nurse report to the physician immediately?
Correct Answer: B
Rationale: swelling and warmth may indicate infection or a deep vein thrombosis, which requires immediate attention