NCLEX-PN
NCLEX Trainer Test 9 Questions
Extract:
A nursing assistant is assigned to constant observation of a suicidal patient.
Question 1 of 5
Which of the following statements made by the nursing assistant would require IMMEDIATE intervention by the nurse?
Correct Answer: D
Rationale: Strategy: 'Require IMMEDIATE intervention' indicates that something is wrong. (1) no reason to intervene (2) appropriate, client is not to be left alone for any reason (3) no reason to intervene (4) correct-client under constant observation; must not be left alone for any reason
Extract:
Question 2 of 5
The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the nurse perform first?
Correct Answer: B
Rationale: Place the child on its side. Protecting the airway is the top priority in a seizure to ensure a patent airway and oxygenation.
Question 3 of 5
The care of which of the following clients can the nurse safely delegate to an unlicensed assistive personnel (UAP)?
Correct Answer: A
Rationale: This client is stable with no risk of instability as compared to the other clients. The client has a chronic condition and needs supportive care, which is appropriate for a UAP.
Question 4 of 5
Under the supervision of the registered nurse, a student nurse is changing the dressing of a 49-year-old woman with a newly inserted peritoneal dialysis catheter. Which of the following activities, if performed by the student nurse after removal of the old dressing, would require an intervention by the registered nurse?
Correct Answer: C
Rationale: should clean from insertion site outward toward outer abdomen
Question 5 of 5
The nurse is caring for a client with a history of stroke.
Correct Answer: A
Rationale: Thickening liquids to a nectar consistency slows swallowing, reducing aspiration risk in stroke patients with dysphagia. Small meals help, supine positioning increases risk, and antiemetics are irrelevant.