NCLEX-PN
NCLEX Trainer Test 2 Questions
Extract:
A client is going to be taking imipramine (Tofranil) at home following discharge.
Question 1 of 5
The nurse should instruct the client to report which of the following immediately to the nurse?
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-possible side effects of
Tofranil, a tricyclic antidepressant medication, which can be resolved by altering the dosage or changing the medication (2) describes side effects of antidepressants, which client can learn to manage at home without changing the medication (3) describes side effects of a different category of medications (4) describes side effects of a different category of medications
Extract:
Question 2 of 5
A patient with type I diabetes mellitus (IDDM) asks the nurse why the doctor ordered human insulin instead of beef or pork insulin. Which of the following responses by the nurse is BEST?
Correct Answer: D
Rationale: protein molecules are identical with human insulin
Question 3 of 5
A diabetic client has been maintained on Glucophage (metformin) for regulation of his blood glucose levels. Which teaching should be included in the plan of care?
Correct Answer: A
Rationale: Metformin can affect kidney function, so changes in urinary patterns should be reported. Optimal effects occur sooner than six weeks , carbohydrates should be balanced, not increased , and itching is not a common side effect .
Question 4 of 5
During a first aid class, the nurse instructs clients on the emergency care of second-degree burns.
Correct Answer: B
Rationale: Removing clothing and wrapping the victim in a clean sheet minimizes contamination and prevents infection in an emergency setting. Soap, ointments, or delaying action increase infection risk by introducing irritants or leaving the wound exposed.
Extract:
A client in labor is receiving magnesium sulfate IV.
Question 5 of 5
Which assessment is MOST important to give during report to the nurse on the next shift?
Correct Answer: D
Rationale: Strategy: Determine how each answer choice relates to magnesium sulfate. (1) not a concern because the respirations are increasing (2) not relevant to the medication (3) not relevant to the medication (4) correct-magnesium sulfate is a central nervous system depressant; side effect is oliguria