NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
The nurse is supervising a student nurse teach a client about a newly prescribed medication. Which of the following actions, if observed by the nurse, would require an intervention?
Correct Answer: A
Rationale: lack of attending behaviors are always a barrier to learning
Extract:
Twenty-four hours after abdominal surgery.
Question 2 of 5
Which of the following plans would be a nursing priority to prevent complications of flatulence?
Correct Answer: D
Rationale: Strategy: Answers are all implementations. Determine the outcome of each answer choice. Is it desired? (1) increasing carbonated beverages will increase flatus (2) will prevent postoperative complications, but not flatulence (3) does not address flatulence (4) correct-will increase peristalsis, decreasing the development of flatus
Extract:
Question 3 of 5
The nurse in a long-term care facility is reviewing the nurse's notes in a client's chart. The nurse would be MOST concerned by which of the following entries?
Correct Answer: B
Rationale: blanching or hyperemia that does not disappear in a short time is a warning sign of pressure ulcers
Question 4 of 5
A 45-year-old client with newly diagnosed IDDM (insulin-dependent diabetes mellitus) is being seen by the home health nurse. The physician has placed him on a 1,800-calorie ADA diet, ordered the client to self-administer 15 units of NPH insulin each day before breakfast, and check his blood sugar qid. When the nurse visits the client at 5 PM, the nurse discovers that the client has not eaten since noon and has just returned from jogging. The client's vital signs are: BP 110/80, pulse 120, respirations 18, temperature 98.2°F (36.8°C). When the client obtains his blood sugar reading, the nurse would expect it to be?
Correct Answer: D
Rationale: hypoglycemia symptoms are cool, clammy skin, diaphoresis, nervousness, weakness, hunger, confusion, headache, slurred speech, coma
Extract:
A 47-year-old woman comes to the outpatient psychiatric clinic for treatment of a fear of heights.
Question 5 of 5
Which of the following is the best plan of care that would meet the needs of this client INITIALLY?
Correct Answer: D
Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) secondary gain (attention and assistance received) is not the motivation of a phobic patient, remain nonjudgmental (2) ineffective in relieving behavior, may increase anxiety and feelings of guilt (3) should encourage patient to remain independent (4) correct-phobia is fixed channel for discharge of tension from unconscious conflict