NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
A 67-year-old man following a cardiac catheterization. Two hours after the procedure, the nurse checks the patient's insertion site in the antecubital space, and the patient complains that his hand is numb.
Question 1 of 5
The nurse should
Correct Answer: C
Rationale: Strategy: Answers are a mix of assessments and implementations. Does the assessment answer validate what is going on? No. Determine the outcome of each answer choice. (1) assumes that numbness is related to positioning of hand, not circulatory changes (2) part of assessment, but doesn't indicate status of circulation (3) correct-absent or weak pulse or numbness could indicate problem with circulation, anticoagulants and vasodilators may be ordered (4) assumes that numbness is related to immobility of fingers, not circulatory changes
Extract:
During the physical assessment, the nurse determines the need to perform the bulge Test .
Question 2 of 5
Which of the following statements, if made by the nurse, is BEST?
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-bulge Test confirms presence of fluid in the knee; client's leg should be extended and supported on the bed (2) observing curve of spine; scoliosis will cause lateral curve in the spine (3) unrelated to knee examination (4) Test s articulation of elbow
Extract:
Question 3 of 5
The nurse is caring for an adult who had a nephrectomy this morning. Because of the location of the surgery, the nurse knows that the client is at increased risk for which of the following?
Correct Answer: C
Rationale: Nephrectomy involves flank incision near the diaphragm; postoperative pain limits deep breathing, increasing atelectasis risk. Thrombophlebitis, infection, or footdrop are less specific to the site.
Question 4 of 5
The nurse is preparing to administer a medication to a client via a nasogastric tube. Which of the following actions should the nurse perform FIRST?
Correct Answer: A
Rationale: Verifying nasogastric tube placement prevents aspiration, a priority before medication administration. Options B, C, and D follow placement confirmation.
Question 5 of 5
The primary teaching for a client following an extracorporeal shock-wave lithotripsy (ESWL) procedure is
Correct Answer: A
Rationale: Drink 3000 to 4000 cc of fluid each day for one month.' Drinking three to four quarts (3000 to 4000 cc) of fluid each day will aid passage of fragments and help prevent formation of new calculi.