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
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
A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident.
Correct Answer: D
Rationale: A decreased level of consciousness (e.g., confusion, stupor) is the initial symptom of increased intracranial pressure from a subdural hematoma, reflecting cerebral compression. Unequal pupils, posturing, and seizures are later signs of severe brain damage.
Question 4 of 5
The nurse is preparing a client with a severe case of inflamed hemorrhoids for a rectal examination by the physician. What is the best position to place her in on the examination table?
Correct Answer: B
Rationale: The knee-chest position provides optimal exposure for rectal examination, minimizing discomfort with inflamed hemorrhoids.
Question 5 of 5
The nurse is teaching a client with asthma about the use of a metered-dose inhaler. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Shaking the inhaler ensures proper medication dispersion. Options A, B, and D are incorrect techniques or schedules.