NCLEX Questions, NCLEX Trainer Test 7 Questions, NCLEX-PN Questions, Nurselytic

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NCLEX Trainer Test 7 Questions

Extract:


Question 1 of 5

The nurse is working with parents to plan home care for a 2 year-old with a heart problem. A priority nursing intervention would be to

Correct Answer: A

Rationale: Encourage the parents to enroll in cardiopulmonary resuscitation (CPR) class. While all suggestions are appropriate, the education of the parents/caregivers should include techniques of cardiopulmonary resuscitation in order to provide for emergency care of their child.

Question 2 of 5

A young woman who is at 32 weeks gestation reports to the physician's office for a routine prenatal visit. Which comment by the woman must be reported to the physician?

Correct Answer: A

Rationale: Finger swelling severe enough to prevent wearing rings may indicate preeclampsia, requiring physician evaluation. Heat sensation, foot edema, and breast changes are normal in pregnancy.

Question 3 of 5

Which clients can be assigned to share the same room?

Correct Answer: A

Rationale: Clients with hysterectomy and tubal ligation are both post-surgical, non-infectious, and suitable to share a room. Other pairs involve infectious or immunocompromised conditions, posing risks.

Question 4 of 5

The client is being admitted for surgery. During the admission assessment, the client states that she usually has 8 to 10 alcoholic drinks a day. How should the nurse reply?

Correct Answer: C

Rationale: Admitting to 8 to 10 alcoholic drinks a day is suggestive of alcoholism. It is important to know when the client last had a drink of alcohol in order to anticipate the onset of withdrawal symptoms. The type of alcohol the client drinks, how long the client has been drinking, and why the client drinks are not the key issues. The key issue is when to anticipate withdrawal symptoms.

Extract:

An adult client with a nasogastric tube has an order for acetaminophen (Tylenol) 650 mg PRN for a temperature greater than 101°F (38.3°C).


Question 5 of 5

Which of the following measures should be included by the nurse when administering this medication?

Correct Answer: C

Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) client is NPO, so nothing should be administered orally (2) medication should not be withheld (3) correct-liquid acetaminophen may be administered via the nasogastric tube after tube placement has been checked; tube placement should be checked before anything is instilled (4) Tylenol does not come powdered

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