NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
A patient is admitted to the hospital for a hypoglossectomy with lymph node dissection.
Question 1 of 5
The patient's preoperative care includes frequent oral hygiene with hydrogen peroxide. The nurse knows the purpose of this treatment is to
Correct Answer: A
Rationale: Strategy: Determine how each answer choice relates to the procedure. (1) correct-destroys bacteria found in mouth, reduces the chance of infection (2) is not the action of hydrogen peroxide (3) circulation is unaffected by a mouth rinse (4) has slight drying effect on mucous membranes
Extract:
Question 2 of 5
Which laboratory result would be expected during the emergent phase of a burn injury?
Correct Answer: A
Rationale: Glucose levels rise as a result of the stress response during the emergent phase. Answers B, C, and D are within normal range. K+ and Na+ would be elevated, whereas albumin would be lowered during the emergent period due to increased permeability.
Question 3 of 5
An adult is on a clear liquid diet. Which food should the nurse offer him?
Correct Answer: D
Rationale: Apple juice is a clear liquid, appropriate for a clear liquid diet. Milkshakes and sherbet contain dairy, and fruited gelatin may have solids, making them unsuitable.
Question 4 of 5
Which of the following assessments by the nurse would indicate that the client is having a possible adverse response to the isoniazid (INH)?
Correct Answer: B
Rationale: Clients receiving INH therapy are at risk for developing drug-induced hepatitis. The appearance of jaundice may indicate that the client has liver damage.
Question 5 of 5
A client who is terminally ill has been receiving high doses of an opioid analgesic for the past month. As death approaches and the client becomes unresponsive to verbal stimuli, what orders would the nurse expect from the health care provider?
Correct Answer: C
Rationale: Continue the same analgesic dosage. Dying patients who have been in chronic pain will probably continue to experience pain even though they cannot communicate their experience. Pain medication should be continued at the same dose, if effective.