NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
A bipolar patient refuses to put down the mop that he is swinging to threaten other patients and staff.
Question 1 of 5
What information is MOST important for the nurse to consider before administering a PRN IM dose of lorazepam (Ativan)?
Correct Answer: C
Rationale: Strategy: Think about each answer choice. (1) use the least restrictive interventions in ascending order (2) use the least restrictive interventions in ascending order (3) correct-use the least restrictive interventions in ascending order (4) use the least restrictive interventions in ascending order
Extract:
Question 2 of 5
After 4 electroconvulsive treatments over 2 weeks, a client is very upset and states 'I am so confused. I lose my money. I just can't remember telephone numbers.' The most therapeutic response for the nurse to make is
Correct Answer: D
Rationale: Communicating caring and empathy with the acknowledgement of feelings is the initial response. Afterwards, teaching about the expected short-term effects would be discussed.
Question 3 of 5
The father of a one-day-old son works the evening shift (3 PM to 11 PM) at another hospital. Which of the following plans would be a priority to meet the needs of this father?
Correct Answer: C
Rationale: Adjusting visiting hours accommodates the father’s evening shift, enabling bonding with his newborn, a priority for family-centered care. Options A and B are less flexible, and option D is a long-term solution, not immediate.
Question 4 of 5
The nurse is preparing a five-year-old child for surgery.
Correct Answer: D
Rationale: In cases of joint legal custody, consent from either parent is sufficient for surgical procedures. Since the mother has signed the informed consent, no further action is needed, and the nurse should continue preoperative preparation. Notifying the physician, informing surgery, or contacting the father is unnecessary.
Extract:
A 52-year-old woman complains of chronic constipation.
Question 5 of 5
The nurse in the health care clinic should advise the woman to
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) unnecessary, no effect on constipation (2) normal intake 1,500-2,000, reduced intake causes constipation (3) correct-bulk-forming foods help with constipation (4) passing the buck, laxatives are a last resort