NCLEX-PN
NCLEX Trainer Test 7 Questions
Extract:
A client is scheduled for a myelogram at the outpatient clinic.
Question 1 of 5
Which of the following statements, if made by the nurse, correctly describes a myelogram?
Correct Answer: C
Rationale: Strategy: Determine how each answer choice relates to a myelogram. (1) x-ray examination cannot determine the extent of myelin breakdown (2) no such procedure (3) correct-contrast medium or air is injected into spinal subarachnoid space through a spinal puncture, identifies tumors, cysts, herniated vertebral discs (4) no such procedure
Extract:
Question 2 of 5
A client with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA) has died. Which type of precautions is appropriate to use when performing postmortem care?
Correct Answer: C
Rationale: The resistant bacteria remain alive for up to 3 days after the client dies.
Therefore, contact precautions must still be implemented.
Question 3 of 5
A woman is scheduled for a breast biopsy. She is crying and says, 'I am so upset because I watched my mother die from ovarian cancer.' What is the most appropriate nursing diagnosis?
Correct Answer: A
Rationale: Fear of cancer due to her mother's death is the most specific diagnosis, addressing her emotional response to the biopsy.
Question 4 of 5
The nurse is caring for a client with a history of heart failure who is receiving spironolactone (Aldactone) 25 mg PO daily. Which of the following laboratory results would be of GREATest concern to the nurse?
Correct Answer: A
Rationale: Hyperkalemia (potassium 5.8 mEq/L) is a serious complication of spironolactone, a potassium-sparing diuretic, risking arrhythmias in heart failure. Options B, C, and D are normal: sodium 138 mEq/L, creatinine 1.2 mg/dL, and calcium 9.0 mg/dL do not indicate complications.
Question 5 of 5
A client with a fractured femur has been in Russell's traction for 24 hours. Which nursing action is associated with this therapy?
Correct Answer: D
Rationale: Perform a neurovascular check for circulation. While each of these is an important assessment, the neurovascular integrity check is most associated with this type of traction. Russell's traction is Buck's traction with a sling under the knee.