NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new diagnosis of chronic obstructive pulmonary disease (COPD) about tiotropium (Spiriva). Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Eye pain or vision changes may indicate glaucoma, a serious tiotropium side effect. Options A, C, and D are incorrect.
Question 2 of 5
An adult who has COPD is to start receiving oxygen at home. What teaching is essential for this client and his family?
Correct Answer: D
Rationale: Adjusting oxygen flow incrementally for shortness of breath ensures safety, as fixed 6 L/min may be excessive, synthetic clothes increase static risk, and carpet covering is unnecessary.
Extract:
A client in labor is receiving magnesium sulfate IV.
Question 3 of 5
Which assessment is MOST important to give during report to the nurse on the next shift?
Correct Answer: D
Rationale: Strategy: Determine how each answer choice relates to magnesium sulfate. (1) not a concern because the respirations are increasing (2) not relevant to the medication (3) not relevant to the medication (4) correct-magnesium sulfate is a central nervous system depressant; side effect is oliguria
Extract:
Question 4 of 5
In addition to standard precautions, a nurse should implement contact precautions for which client?
Correct Answer: A
Rationale: 60 year-old with herpes simplex. Clients who have herpes simplex infections must have contact precautions in addition to standard precautions because of the associated, potentially weeping, skin lesions. Contact precautions are used for clients who are infected by microorganisms that are transmitted by direct contact with the client, including hand or skin-to-skin contact.
Question 5 of 5
The nurse is talking with an adult who says she has chronic constipation. What suggestion would probably be most helpful to the client?
Correct Answer: B
Rationale: Fruits and vegetables are high in fiber, promoting bowel regularity and alleviating constipation. Rice is low-fiber, Lomotil slows motility, and limiting fluids to meals can worsen constipation.