NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
A postoperative client has returned to his room from the surgical recovery area. The client is sleeping, and the nurse notes that the client is disoriented when aroused.
Question 1 of 5
Which of the following actions, if taken by the nurse, is BEST?
Correct Answer: D
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) not the safety action (2) unnecessary to stay with the client, especially while he is sleeping (3) restraints are unnecessary at this time (4) correct-side rails should always be elevated for any disoriented client
Extract:
Question 2 of 5
The nurse is caring for a client who is receiving a continuous IV infusion of propofol (Diprivan) for sedation. Which of the following findings would be of GREATest concern to the nurse?
Correct Answer: D
Rationale: An oxygen saturation of 90% is low, indicating hypoxemia, a serious complication of propofol due to respiratory depression, requiring immediate intervention. Options A, B, and C are acceptable: respiratory rate 12 breaths/min, blood pressure 100/60 mmHg, and heart rate 80 bpm are stable.
Extract:
An extremely angry patient with bipolar illness who just learned his wife has filed for divorce.
Question 3 of 5
Which of the following responses by the nurse is MOST appropriate?
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-patient is able to use phone unless otherwise indicated by court order or physician's order (2) has not lost civil right to use phone (3) denies patient his civil rights (4) inappropriate
Extract:
Question 4 of 5
A mother brings her two-year-old boy to the pediatrician’s office.
Correct Answer: C
Rationale: Strabismus is characterized by misaligned visual axes, causing the brain to receive two images. Closing one eye to focus on an object, such as a poster, is a compensatory behavior indicative of strabismus. The other symptoms suggest refractive errors or other visual impairments, not strabismus.
Question 5 of 5
Which client should be assigned to the licensed practical nurse?
Correct Answer: B
Rationale: A client with a cast for a fractured femur is stable and suitable for an LPN. Ventilator support and post-op thyroidectomy require RN skills, and interferon administration needs specialized knowledge.