NCLEX Questions, NCLEX Trainer Test 8 Questions, NCLEX-PN Qu

Extract:

Question 1 of 5

The nurse is teaching a parent about side effects of routine immunizations. Which of the following must be reported immediately?

Correct Answer: D

Rationale: Seizure activity. Other reactions that should be reported include crying for >3 hours, temperature over 104.8 degrees Fahrenheit following DPT immunization, and tender, swollen, reddened areas.

Question 2 of 5

The nurse is caring for a client who is receiving a continuous IV infusion of furosemide (Lasix) for heart failure. Which of the following laboratory results would be of GREATest concern to the nurse?

A. Potassium 3.0 mEq/L. B. Sodium 138 mEq/L. C. Creatinine 1.2 mg/dL. D. Calcium 9.0 mg/dL.

Correct Answer: A

Rationale: Hypokalemia (potassium 3.0 mEq/L) is a serious complication of furosemide, increasing the risk of arrhythmias in heart failure. Options B, C, and D are normal: sodium 138 mEq/L, creatinine 1.2 mg/dL, and calcium 9.0 mg/dL do not indicate complications.

Question 3 of 5

The nurse assessing a newborn with physiologic jaundice knows that physiologic jaundice is caused by:

A. Failure of the ductus venosus to close B. An immature liver C. An ABO incompatibility D. A lack of surfactant

Correct Answer: B

Rationale: Physiologic jaundice results from an immature liver's inability to conjugate bilirubin efficiently. Other options are unrelated to physiologic jaundice.

Question 4 of 5

The nursing intervention that best describes treatment to deal with the behaviors of clients with personality disorders include

A. Pointing out inconsistencies in speech patterns to correct thought disorders B. Accepting client and the client's behavior unconditionally C. Encouraging dependency in order to develop ego controls D. Consistent limit-setting enforced 24 hours per day

Correct Answer: D

Rationale: Consistent limit-setting enforced 24 hours per day. This helps restructure maladaptive behaviors in personality disorders.

Question 5 of 5

Following a CT scan with contrast medium, the nurse should give attention to:

A. Maintaining bed rest for 8 hours B. Forcing fluids C. Observing the puncture site for hemorrhage D. Administering pain medication

Correct Answer: B

Rationale: Forcing fluids promotes excretion of contrast medium, reducing risk of renal toxicity. Bed rest and hemorrhage monitoring are not typically required.