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
A client has fludrocortisone acetate (Florinef) prescribed. What blood tests should the nurse monitor when administering this drug?
Correct Answer: C
Rationale: Fludrocortisone, a mineralocorticoid, affects sodium and potassium balance, requiring monitoring of serum electrolytes to detect imbalances like hypernatremia or hypokalemia.
Question 3 of 5
A nurse is stuck in the hand by an exposed used hypodermic needle. What immediate action should the nurse take?
Correct Answer: C
Rationale: The immediate action of vigorously washing will help remove possible contamination.
Then the sequence would be to notify the supervisor, look up the policy, and contact employee health services.
Question 4 of 5
The nurse is caring for a client with a suspected pulmonary embolism.
Correct Answer: B
Rationale: A D-dimer blood Test is a sensitive screening tool for pulmonary embolism, detecting fibrin degradation products from a clot. Chest X-ray and ECG are non-specific, and ABG assesses oxygenation but not the diagnosis directly.
Question 5 of 5
A client with a total knee replacement returns from surgery. Which finding requires immediate nursing intervention?
Correct Answer: B
Rationale: A 90° flexion setting on the CPM machine is too aggressive post-surgery, risking injury, and requires immediate adjustment. Drainage , non-ambulation , and spasms are expected or less urgent.