NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
Question 1 of 5
Which of the following actions should the nurse instruct the client to complete FIRST to establish a normal urinary pattern?
Correct Answer: C
Rationale: Tracking fluid intake first helps correlate intake with urinary output, guiding interventions like scheduled voiding. Options A, B, and D are subsequent steps or supportive measures.
Question 2 of 5
The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that the client
Correct Answer: B
Rationale: Should alternate ambulation with bed rest with legs elevated. Encourage alternating periods of ambulation and bed rest with legs elevated to mobilize edema and ascites.
Question 3 of 5
For which of the following mother-baby pairs should the nurse review the Coombs' test in preparation for administering Rh0 (D) immune globulin within 72 hours of birth?
Correct Answer: A
Rationale: Rh negative mother with Rh positive baby. Rh0 (
D) immune globulin is administered to prevent Rh sensitization in an Rh-negative mother who may have been exposed to Rh-positive fetal blood during delivery. The Coombs' test helps determine if the baby is Rh-positive, confirming the need for the injection.
Question 4 of 5
Which statement by the nurse is appropriate when giving an assignment to an unlicensed assistive personnel (UAP) to help a client ambulate for the first time after a colon resection?
Correct Answer: A
Rationale: This statement gives clear directions to the UAP about the task and is most closely associated with the information provided in the stem that this is the client's first time out of bed after surgery.
Extract:
A student nurse obtaining an infant's vital signs.
Question 5 of 5
Which of the following actions should the student nurse complete FIRST?
Correct Answer: C
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) inappropriate to use probe to take axillary temperature (2) should count for a full minute (3) correct-respirations should be counted for one full minute prior to arousing the infant with a temperature probe or stethoscope (4) after infant is stimulated, crying may interfere with accurate evaluation of respirations