NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
A 20-year-old woman with a fracture of the left femur is placed in Buck's traction with a 7-lb weight. The patient keeps sliding down in bed.
Question 1 of 5
The nurse should
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) will not prevent patient from sliding down; may change pull of traction (2) correct-will keep leg straight and counter the pull of the weights (3) will bend the leg and alter the pull of the traction (4) not effective way of preventing the patient from sliding down in bed
Extract:
Question 2 of 5
The nurse is discussing negativity with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior?
Correct Answer: C
Rationale: Use patience and a sense of humor to deal with this behavior. This approach supports the toddler’s developing autonomy.
Extract:
An adolescent for a lumbar puncture.
Question 3 of 5
It is MOST important that the nurse make which of the following statements?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) general anesthetic is not used (2) fluids are not restricted before the Test (3) correct-to prevent a post-lumbar puncture headache, client should remain flat in bed for eight hours after the Test (4) inappropriate for this procedure
Extract:
Question 4 of 5
The nurse is administering digoxin to a 6-month-old infant. Which finding would cause the nurse to withhold the medication and notify the charge nurse or the physician?
Correct Answer: A
Rationale: An apical heart rate below 100 in infants indicates bradycardia, a contraindication for digoxin due to toxicity risk, requiring withholding and reporting.
Question 5 of 5
An adult who has chronic obstructive pulmonary disease (COPD) is receiving oxygen at home via nasal cannula. In addition to instructing the client and his family about not smoking when oxygen is in use, what should the nurse plan to include in the teaching?
Correct Answer: B
Rationale: Shuffling across carpet generates static electricity, risking sparks near oxygen, which is a fire hazard. Adjusting oxygen flow without medical orders or cleaning with alcohol (instead of soap and water) is unsafe.