NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
Question 1 of 5
The nurse is teaching a client with a new diagnosis of type 1 diabetes about insulin glargine (Lantus). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Taking insulin glargine when blood sugar is high is incorrect, as it is a long-acting basal insulin for steady control, not for acute hyperglycemia. Options A, B, and C are correct: bedtime dosing is standard, it should not be mixed, and rotation prevents lipodystrophy.
Question 2 of 5
The nurse is caring for a client with a history of depression who is receiving venlafaxine (Effexor) 75 mg PO bid. Which of the following symptoms should the nurse report immediately?
Correct Answer: C
Rationale: Suicidal thoughts are a medical emergency with venlafaxine. Options A, B, and D are common side effects.
Question 3 of 5
The nurse is teaching a client with a new diagnosis of asthma about fluticasone (Flovent). Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Using fluticasone as a rescue inhaler is incorrect, as it is a corticosteroid for maintenance therapy, not acute symptoms. Options A, B, and C are correct: rinsing prevents oral thrush, twice-daily use is standard, and sore throat may indicate infection.
Extract:
A client develops severe, crushing chest pain radiating to the left shoulder and arm.
Question 4 of 5
Which of the following PRN medications should the nurse administer?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) not an appropriate medication in this situation; antianxiety medication (2) Demerol is less commonly used because it may induce vomiting and initiate a vagal response (3) correct-morphine sulfate is given to reduce pain, anxiety, and cardiac workload; reduces the preload and afterload pressures (4) although a client at home may have taken NTG SL, the nurse would administer it IV to reduce pain and decrease overload
Extract:
Question 5 of 5
The nurse is to open a sterile package. How should the nurse plan to open the first flap?
Correct Answer: B
Rationale: Opening the first flap away from the nurse maintains sterility by preventing hands from passing over the sterile field. Opening toward the nurse or to the sides risks contamination.