NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
Question 1 of 5
The nurse who is the primary caregiver for an adult client receives a telephone report from the Microbiology Department that the client's blood culture is positive for gram-negative rods. The client is not on antibiotics. What should the nurse do first?
Correct Answer: C
Rationale: Notifying the physician promptly ensures timely antibiotic initiation for a positive blood culture, the priority action.
Extract:
A client suspected to have bulimia.
Question 2 of 5
Which of the following observations by the nurse would MOST likely indicate bulimia?
Correct Answer: C
Rationale: Strategy: Determine the cause of each symptom. Does it relate to bulimia? (1) common with anorexia (2) seen with anorexia (3) correct-due to frequent vomiting (4) bulimics are normal in appearance
Extract:
Question 3 of 5
A client with chronic congestive heart failure should be instructed to contact the home health nurse if which finding occurs?
Correct Answer: A
Rationale: Weight gain of 2 pounds or more in a 48 hour period. It is critical for clients to report and be treated for rapid weight gain, which indicates fluid retention and worsening heart failure.
Question 4 of 5
The nurse is caring for a client who is postoperative day 1 after a total hysterectomy. Which of the following findings should the nurse report immediately?
Correct Answer: B
Rationale: A temperature of 100.8°F suggests infection, a serious post-hysterectomy complication. Options A, C, and D are normal.
Question 5 of 5
The nurse is to obtain pedal pulses on a client following a cardiac catheterization. Which is the proper procedure?
Correct Answer: D
Rationale: Pedal pulses are assessed by palpating the dorsalis pedis or posterior tibial arteries on the foot, checking for circulation post-catheterization.