NCLEX-PN
NCLEX Trainer Test 6 Questions
Extract:
A client has been diagnosed with metastatic cancer with a poor prognosis. Recently, the client has complained of increased pain and is less communicative, very irritable, and anorexic.
Question 1 of 5
Which of the following nursing goals should be a priority at this time?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) will be difficult if client's pain is not adequately controlled (2) correct-comprehensive and regular pain assessment/management is necessary to facilitate client's ability to maintain comfort, which may enable him to verbalize his feelings (3) important, but will be difficult if client's pain is not adequately controlled (4) not highest priority
Extract:
Question 2 of 5
A client with chronic obstructive pulmonary disease is receiving $\mathrm{O}_2$ at $3 \mathrm{~L}/\mathrm{min}$ via nasal cannula. He is anxious and short of breath, and his mental status is clouded. The nurse should:
Correct Answer: D
Rationale: Checking vital signs and oxygen saturation assesses the cause of symptoms (e.g., hypoxia, hypercapnia). Increasing O2 risks CO2 retention in COPD. Monitoring is passive. Humidity is secondary.
Question 3 of 5
A registered nurse (RN) asks the licensed practical nurse (LPN) to hang blood on a client. What is the best response by the LPN?
Correct Answer: D
Rationale: LPN scope of practice typically excludes initiating blood transfusions due to the need for specialized monitoring, requiring RN administration.
Extract:
A 23-year-old woman in active labor.
Question 4 of 5
The nurse observes the fetal heart monitor for a 23-year-old woman in active labor. The fetal heart tracing shows early fetal decelerations. The nurse is aware that this is
Correct Answer: A
Rationale: Strategy: Think about each answer choice. (1) correct-occurs in response to compression of fetal head, uniform shape corresponds to rise in intrauterine pressure as uterus contracts, does not indicate fetal distress (2) does not indicate fetal distress (3) slowing is early in the contraction (4) slowing is early in uterine contraction and is not abnormal
Extract:
Question 5 of 5
The nurse is caring for a client who is receiving heparin 5,000 units subcutaneously q12h. The nurse should monitor for which of the following as a side effect?
Correct Answer: B
Rationale: Heparin can cause bruising at injection sites due to its anticoagulant effect. Options A, C, and D are not typical side effects.