NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
A client who has just indicated a wish to kill herself and asks the nurse not to tell anyone.
Question 1 of 5
The nurse's BEST response should be to
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) does not answer client's immediate concern or give client accurate information about what the nurse will do (2) does not answer client's immediate concern or give client accurate information about what the nurse will do (3) correct-nurse must let the client know that this information will be shared with the staff so that the client's safety can be preserved (4) does not answer client's immediate concern or give client accurate information about what the nurse will do
Extract:
Question 2 of 5
The nurse is caring for a client with a history of congestive heart failure (CHF). Which of the following findings would indicate to the nurse that the client's condition is worsening?
Correct Answer: B
Rationale: weight gain is a sign of fluid retention, indicating worsening CHF
Question 3 of 5
A client has an order for furosemide (Lasix) 40 mg IV push via a heparin lock. Which of the following nursing actions would be MOST appropriate?
Correct Answer: B
Rationale: furosemide (Lasix) given IV push should be administered slowly over one to two minutes
Question 4 of 5
The nurse is assessing a client with a diagnosis of detached retina. Which of the following observations would support this diagnosis?
Correct Answer: D
Rationale: bright flashes of light and client stating that portion of visual field is dark are classic symptoms
Question 5 of 5
The nurse is caring for clients in the skilled nursing facility.
Correct Answer: A
Rationale: A client with an expired warfarin prescription post-CVA is at high risk for recurrent stroke due to the anticoagulant’s 2-5 day duration, requiring immediate attention. Pain management, urinary symptoms, and immunization are less urgent.