NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
A client has just been admitted after sustaining a second-degree thermal injury to his right arm.
Question 1 of 5
Which of the following nursing observations is MOST important to report to the doctor?
Correct Answer: B
Rationale: Strategy: Determine how each assessment relates to burns. (1) expected findings in burn wound resolution (2) correct-decrease in gastric pH could indicate hypersecretion of hydrogen ions, predisposing factor to stress ulcer formation (3) expected findings in burn wound resolution (4) expected findings in burn wound resolution
Extract:
Question 2 of 5
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD).
Correct Answer: C
Rationale: Pursed-lip breathing prolongs exhalation, reducing air trapping and improving oxygenation in COPD. High-protein diets are beneficial but secondary, high-flow oxygen risks CO2 retention, and supine positioning impairs breathing.
Question 3 of 5
The nurse is caring for a client with a history of chronic kidney disease who is receiving epoetin alfa (Epogen). Which of the following laboratory results would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: A hemoglobin of 14 g/dL is too high for epoetin alfa therapy, increasing the risk of hypertension and thrombosis, requiring dose adjustment. Options B, C, and D are expected: potassium 4.5 mEq/L and calcium 9.0 mg/dL are normal, and creatinine 3.0 mg/dL is consistent with chronic kidney disease.
Question 4 of 5
A nurse is stuck in the hand by an exposed used hypodermic needle. What immediate action should the nurse take?
Correct Answer: C
Rationale: The immediate action of vigorously washing will help remove possible contamination.
Then the sequence would be to notify the supervisor, look up the policy, and contact employee health services.
Extract:
A client has just been admitted after sustaining a second-degree thermal injury to his right arm.
Question 5 of 5
Which of the following nursing observations is MOST important to report to the doctor?
Correct Answer: B
Rationale: Strategy: Determine how each assessment relates to burns. (1) expected findings in burn wound resolution (2) correct-decrease in gastric pH could indicate hypersecretion of hydrogen ions, predisposing factor to stress ulcer formation (3) expected findings in burn wound resolution (4) expected findings in burn wound resolution