NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
When assessing orientation to person, place, and time for an elderly hospitalized client, which of the following principles should be understood by the nurse?
Correct Answer: B
Rationale: stress of an unfamiliar situation or environment may lead to confusion in elderly clients
Question 2 of 5
The nurse is caring for a client with a history of type 2 diabetes who is receiving sitagliptin (Januvia) 100 mg PO daily. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: C
Rationale: Upper abdominal pain may indicate pancreatitis, a rare but serious side effect of sitagliptin, requiring immediate evaluation. Options A, B, and D are less concerning: headaches and fatigue are nonspecific, and taking with breakfast is acceptable.
Question 3 of 5
A patient complains of pain after an appendectomy. After administering an analgesic, the nurse should take which of the following actions?
Correct Answer: A
Rationale: would reduce stress on suture line and provide for comfort
Question 4 of 5
The nurse is assisting a 58-year-old woman from the bed to the chair for the first time after a right total hip replacement. It is MOST important for the nurse to take which of the following actions?
Correct Answer: B
Rationale: prevents dislocation
Question 5 of 5
A client reports that he has been vomiting for three days, has a low-grade temperature, and feels lethargic. Which of the following nursing actions is MOST appropriate in evaluating for fluid volume deficit?
Correct Answer: B
Rationale: daily weight is the best way to evaluate for fluid volume deficit