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

Questions 156

NCLEX-PN

NCLEX-PN Test Bank

NCLEX Trainer Test 8 Questions

Extract:

A 32-year-old multipara is seen in the prenatal clinic. The nurse notes she is in her fifth month of pregnancy and has a weight gain of 14 pounds. The history indicates that prenatally the client was of average height and weight.


Question 1 of 5

The nurse should advise the client that

Correct Answer: C

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) excessive weight gain is >6.6 lb (3 kg)/month (2) inadequate weight gain is <2.2 lb (1 kg)/month (3) correct-weight gain 2-5 lb (2.5 kg) first trimester, 0.66-1.1 lb (0.5 kg) weekly in second and third trimester (4) not substantiated by information presented in question

Extract:


Question 2 of 5

In planning discharge teaching for a client after a lumbar laminectomy, the nurse would instruct the client to exercise regularly to strengthen which muscles?

Correct Answer: B

Rationale: strengthening the abdominal muscles adds support for the muscles supporting the lumbar spine

Question 3 of 5

The nurse is caring for a client with a history of chronic obstructive pulmonary disease (COPD) who is receiving ipratropium (Atrovent) via inhaler. Which of the following symptoms should the nurse report immediately?

Correct Answer: B

Rationale: Blurred vision and eye pain suggest acute angle-closure glaucoma, a rare but serious ipratropium side effect. Options A, C, and D are less urgent: dry mouth is common, cough is expected, and congestion is nonspecific.

Question 4 of 5

The nurse is caring for a client with a history of atrial fibrillation who is receiving warfarin (Coumadin) 5 mg PO daily. Which of the following laboratory results should the nurse report immediately?

Correct Answer: A

Rationale: An INR of 3.5 is above the therapeutic range (2.0–3.0), increasing bleeding risk. Options B, C, and D are normal.

Extract:

A client has severe second- and third-degree burns over 75% of his body.


Question 5 of 5

The nurse would be MOST concerned if which of the following was observed?

Correct Answer: C

Rationale: Strategy: Determine how each answer relates to burns. (1) insignificant for burn client (2) may be due to pain (3) correct-body responds to early hypovolemic shock by adrenergic stimulation; vasoconstriction compensates for the loss of fluid, resulting in cool clammy skin, tachycardia, tachypnea, and pale color (4) may be due to pain

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