NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
A client with newly diagnosed diabetes mellitus.
Question 1 of 5
Which of the following statements, if made by the client to the nurse, would indicate that further teaching is necessary?
Correct Answer: C
Rationale: Strategy: 'Further teaching' indicates an incorrect response. (1) prevents ingrown nails (2) prevents possible injury to feet (3) correct-should inspect feet daily for blisters, sores, ingrown nails, and cuts (4) proper care
Extract:
Question 2 of 5
The nurse on postpartum is preparing four clients for discharge. It would be MOST important for the nurse to refer which of the following clients for homecare?
Correct Answer: D
Rationale: Burning on urination suggests a urinary tract infection, requiring homecare follow-up. Options A, B, and C are routine postpartum findings.
Extract:
The nurse is making a home visit for a client with an abdominal wound.
Question 3 of 5
When irrigating the draining wound with a sterile saline solution, which of the following sequences would be MOST appropriate for the nurse to follow?
Correct Answer: B
Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) hands should be washed first (2) correct-handwashing should be done prior to beginning any procedure, especially irrigating a wound (3) using sterile gloves to remove the dressing would contaminate them (4) hands should be washed first
Extract:
Question 4 of 5
A symptom of impending cardiac decompensation in a pregnant client with heart disease is:
Correct Answer: A
Rationale: Increasing dyspnea signals worsening cardiac function and potential decompensation, a critical symptom in pregnant clients with heart disease. Other symptoms are less specific.
Question 5 of 5
The nurse is caring for a client with a history of heart failure who is receiving furosemide (Lasix) 40 mg PO daily. Which of the following laboratory results would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, and a potassium level of 3.2 mEq/L is low, increasing the risk of arrhythmias in heart failure. Options B, C, and D are normal: sodium 138 mEq/L, creatinine 1.0 mg/dL, and glucose 100 mg/dL do not require immediate action.