NCLEX-PN
NCLEX Trainer Test 4 Questions
Extract:
A patient with effective pain relief.
Question 1 of 5
Which of the following nursing actions is MOST important to provide a patient with effective pain relief?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) not most important (2) correct-necessary to work with patient to identify interventions to relieve pain (3) part of intervention and evaluation phase (4) only a portion of interventions used to relieve pain
Extract:
Question 2 of 5
A client is being discharged following insertion of a permanent set pacemaker. A client with a permanent set pacemaker should be taught:
Correct Answer: C
Rationale: Modern pacemakers adjust their rate based on activity (rate-responsive pacing), so the client should understand that increased activity may require pacemaker adjustments.
Extract:
A bipolar patient refuses to put down the mop that he is swinging to threaten other patients and staff.
Question 3 of 5
What information is MOST important for the nurse to consider before administering a PRN IM dose of lorazepam (Ativan)?
Correct Answer: C
Rationale: Strategy: Think about each answer choice. (1) use the least restrictive interventions in ascending order (2) use the least restrictive interventions in ascending order (3) correct-use the least restrictive interventions in ascending order (4) use the least restrictive interventions in ascending order
Extract:
The nurse is reviewing client assignments on a medical/surgical unit.
Question 4 of 5
The nurse determines that the assignment is appropriate if the nursing assistant is caring for which of the following clients?
Correct Answer: A
Rationale: Strategy: Assign clients with standard, unchanging procedures. (1) correct-standard, unchanging procedure (2) assign to the RN (3) assign to the RN (4) assign to the RN
Extract:
Question 5 of 5
Which laboratory result would be expected during the emergent phase of a burn injury?
Correct Answer: A
Rationale: Glucose levels rise as a result of the stress response during the emergent phase. Answers B, C, and D are within normal range. K+ and Na+ would be elevated, whereas albumin would be lowered during the emergent period due to increased permeability.