NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
Which of the following assessments would be a priority when documenting the nursing history of a two-year-old child?
Correct Answer: A
Rationale: during a crisis such as hospitalization, children are able to establish a sense of security through consistency of the rituals and routines from home
Extract:
The nurse is preparing to begin a dopamine (Intropin) infusion on a client.
Question 2 of 5
Before beginning the infusion the nurse should
Correct Answer: C
Rationale: Strategy: Determine how each answer choice relates to dopamine. (1) not a critical assessment at this time (2) contains correct information, but is not a priority (3) correct-if extravasation occurs, there is sloughing of the surrounding skin and tissue; patent IV line is essential to prevent serious side effects (4) not a critical assessment at this time
Extract:
Question 3 of 5
Which of the following nursing approaches would be MOST appropriate to use while administering an oral medication to a four-month-old?
Correct Answer: B
Rationale: is a convenient method for administering medications to an infant
Extract:
A client who is a gravida 2, para 1 has been admitted for induction of labor with oxytocin (Pitocin).
Question 4 of 5
It would be MOST important for the nurse to take which of the following actions?
Correct Answer: D
Rationale: Strategy: The topic of the question is unstated. Read the answer choices for clues. (1) Pitocin should be a secondary infusion (2) normal range for fetal heart tones is 120 to 160 beats per minute (3) rate should be maintained by an infusion pump (4) correct-Pitocin should always be a secondary infusion controlled by an IV pump
Extract:
An elderly client receiving IV fluids of 0.9% NaCl at 125 cc/h into her left arm. During a routine assessment, the nurse finds that the client has distended neck veins, shortness of breath, and crackles in both lung bases.
Question 5 of 5
The nurse should
Correct Answer: A
Rationale: Strategy: Answers are a mix of assessments and implementations. Is the assessment appropriate? No. Determine the outcome of each implementation. (1) correct-KVO (20 cc/h) will keep access open (2) need to notify physician, rate still too much since patient is in fluid overload (3) IV line may be necessary, diuretics may be ordered (4) description indicates circulatory overload, not infiltration