NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 of 5
Which of the following instructions should be included in the pre-op teaching of a client scheduled for a transphenoidal hypophysectomy for the removal of a pituitary tumor?
Correct Answer: D
Rationale: Post-transphenoidal hypophysectomy, clients avoid brushing teeth for about a week to prevent disruption of the surgical site in the nasal cavity.
Extract:
An eight-month-old infant.
Question 2 of 5
The nurse should look for which of the following in assessing pain in an eight-month-old infant?
Correct Answer: D
Rationale: Strategy: Think about each assessment. (1) pulse rate would increase (2) nonspecific regarding pain (3) does not reflect pain (4) correct-since an infant cannot talk, nurse needs to be aware of nonverbal signs of pain, such as rubbing the ear because of an earache
Extract:
Question 3 of 5
Promethazine hydrochloride (Phenergan) 25 mg IV push has been ordered for a patient. Before administering this medication to the patient, the nurse should check the
Correct Answer: D
Rationale: is very important to determine absolute patency of the vein; extravasation will cause necrosis
Question 4 of 5
A polydrug user has been in recovery for 8 months. The client has began skipping breakfast and not eating regular dinners. The client has also started frequenting bars to 'see old buddies.' The nurse understands that the client's behaviors are warning signs to indicate that the client may be
Correct Answer: A
Rationale: Headed for relapse. These behaviors suggest a return to risky environments and habits, indicating potential relapse.
Question 5 of 5
The nurse is discussing negativity with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior?
Correct Answer: C
Rationale: Use patience and a sense of humor to deal with this behavior. This approach supports the toddler’s developing autonomy.