NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
A client chief complaint in a nursing health history.
Question 1 of 5
Which of the following is an example of a properly recorded client chief complaint in a nursing health history?
Correct Answer: C
Rationale: Strategy: Think about each answer choice. (1) incorrectly stated (2) objective finding (3) correct-chief complaint should be recorded using the client's own words (4) objective finding
Extract:
Question 2 of 5
The nurse is caring for an aging client. Which statement the client makes indicates that he is having difficulty with the developmental tasks of aging?
Correct Answer: C
Rationale: Regret over unfulfilled career changes reflects difficulty achieving ego integrity, the developmental task of accepting one's life. Other statements show adaptation or acceptance.
Question 3 of 5
The nurse is caring for a client who is receiving IV gentamicin for a gram-negative infection. Which of the following laboratory results should the nurse report immediately?
Correct Answer: A
Rationale: A creatinine of 2.0 mg/dL indicates nephrotoxicity, a serious gentamicin side effect. Options B, C, and D are normal.
Question 4 of 5
A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push.
Correct Answer: B
Rationale: Severe hypotension is a serious side effect of procainamide, requiring the dose to be withheld to prevent cardiovascular collapse. PVCs and atrial tachycardia are arrhythmias the drug treats, and a normal sedimentation rate is irrelevant.
Question 5 of 5
The doctor has ordered nasogastric feedings for an elderly client with dysphagia. Prior to administering a tube feeding, the nurse should:
Correct Answer: B
Rationale: Checking the pH of gastric aspirant confirms tube placement in the stomach (pH <5). Discarding aspirant risks fluid loss, suction is not routine, and mixing with water dilutes the feeding.