NCLEX-PN
NCLEX Trainer Test 8 Questions
Extract:
The triage nurse for a women's health center receives a phone call from each of the following women.
Question 1 of 5
Which woman should be directed to come to the health care facility IMMEDIATELY?
Correct Answer: A
Rationale: Strategy: Determine the least stable client. (1) correct-needs to be evaluated for an ectopic pregnancy (2) expect during first trimester of pregnancy (3) symptomatic of threatened abortion; instruct to decrease activity (4) symptoms of spontaneous abortion; instruct client to save and count pads
Extract:
Question 2 of 5
The nurse is caring for a client receiving warfarin (Coumadin) 5 mg PO daily. Which of the following client statements would be of GREATest concern to the nurse?
Correct Answer: B
Rationale: Ibuprofen, an NSAID, increases bleeding risk when taken with warfarin, a significant concern due to potential for hemorrhage. Options A, C, and D are less critical: spinach (vitamin K) may require dose adjustment, moderate wine is generally safe, and walking is beneficial.
Question 3 of 5
The parents of an infant ask the nurse in the physician's office what diseases the DPT shot protects against. What should the nurse include when replying?
Correct Answer: B
Rationale: The DPT (DTaP) vaccine protects against diphtheria, pertussis (whooping cough), and tetanus. The other options include incorrect diseases.
Question 4 of 5
The nurse is caring for a client with a history of renal failure.
Correct Answer: B
Rationale: A serum potassium of 6.2 mEq/L indicates hyperkalemia, a life-threatening condition in renal failure due to impaired excretion, risking cardiac arrhythmias. Elevated creatinine, BUN, and low hemoglobin are expected but less urgent.
Question 5 of 5
An adult is admitted with histoplasmosis. What is most likely to be in the client's history because he has histoplasmosis?
Correct Answer: A
Rationale: Histoplasmosis is caused by inhaling Histoplasma spores, often found in bird or bat droppings, common in chicken farming environments, unlike shellfish, water, or milk.