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:
Several days after a client had a myocardial infarction, the physician placed him on a 2-gm sodium diet.
Question 2 of 5
Which of the following selections would indicate to the nurse an understanding of the diet?
Correct Answer: A
Rationale: Strategy: Determine the foods that are allowed on a 2-gm sodium diet. (1) correct-all items are low in sodium; milk is allowed on a salt-restricted diet (2) instant oatmeal has sodium added (3) bacon is high in sodium (4) all baked breads are high in sodium, as is sausage
Extract:
Question 3 of 5
The multidisciplinary team decides to implement behavior modification with a client.
Correct Answer: A
Rationale: Consistency in applying the behavior modification plan is critical for success. Confirming that all staff members understand and comply ensures consistent implementation, reducing manipulation by the client or staff. While setting goals, choosing rewards, and scheduling reinforcement are important, they are secondary to ensuring staff alignment.
Question 4 of 5
A client is going to have an endoscopy performed. Which of the following is not a probable reason for an endoscopy procedure?
Correct Answer: B
Rationale: Bowel movement pain should be examined with a colonoscopy not an endoscopy.
Question 5 of 5
A 69-year-old man is receiving dexamethasone (Decadron) 3 mg PO TID for chronic lymphocytic leukemia. It is MOST important for the nurse to report which of the following findings to the physician?
Correct Answer: C
Rationale: normal Kâ 3.5-5.0 mEq/L, normal Ca 4.5-5.3 mEq/L, indicates hypokalemia and hypercalcemia