NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
The nurse has administered sublingual nitroglycerin (Nitrostat) to a client complaining of chest pain.
Question 1 of 5
Which of the following observations is MOST important for the nurse to report to the next shift?
Correct Answer: B
Rationale: Strategy: The topic of the question is unstated. Read answer choices for clues. (1) not a side effect of this medication (2) correct-hypotension is significant side effect of nitroglycerin; although effect may be transient, BP should be closely observed to ensure that it does not continue to decrease (3) not a side effect of this medication (4) an expected outcome
Extract:
Question 2 of 5
The nurse is teaching a client with newly diagnosed diabetes mellitus about foot care. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Daily foot inspection prevents complications like infections in diabetes. Options A, B, and C risk burns, fungal growth, or ingrown nails.
Question 3 of 5
The nurse is caring for a client with a history of glaucoma who is receiving timolol (Timoptic) eye drops. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: B
Rationale: Timolol, a beta-blocker, can cause systemic effects like bradycardia, and a slower heart rate is concerning, requiring evaluation to prevent cardiovascular complications. Options A, C, and D are less urgent: burning is common, headaches are nonspecific, and watery eyes are not significant.
Extract:
When the nurse walks into a client's room, the client states, 'I just love hot-blooded redheads.' The client pats his bed and says, 'Why don't you sit down here and get off your feet for a while.'
Question 4 of 5
Which of the following responses by the nurse is BEST?
Correct Answer: A
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) correct-nurse should confront client about inappropriate sexual behavior (2) should confront the client (3) reinforces inappropriate behavior (4) confront the client about inappropriate and unwanted behavior
Extract:
A client with dementia.
Question 5 of 5
The nurse knows that which of these plans would be MOST successful in caring for a client with dementia?
Correct Answer: B
Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) unable to learn new skills (2) correct-client with dementia does not have cognitive abilities to learn new skills or to adapt, environment must be adapted for client with attention to safety and predictability (3) requires skills the client with dementia does not have (4) requires skills the client with dementia does not have