NCLEX-PN
NCLEX Trainer Test 10 Questions
Extract:
Question 1 of 5
While performing care for a 72-year-old woman, the nurse notices that the patient has a dry, parched mouth and tongue. The nurse should
Correct Answer: C
Rationale: will hydrate the mucous membranes and keep mouth clean
Question 2 of 5
The nurse is caring for a client after an ileostomy. The nurse would be MOST concerned if which of the following was observed?
Correct Answer: B
Rationale: important to report these findings to the physician; may indicate an obstruction or stoma stricture
Question 3 of 5
The client is to receive regional anesthesia (spinal anesthesia) during surgery. Which of the following is an important nursing implication regarding this anesthesia?
Correct Answer: A
Rationale: Spinal anesthesia causes vasodilation, risking hypotension; hydration is critical. Options B, C, and D are excessive or unrelated.
Question 4 of 5
Which of the following nursing observations documented in the client's chart MOST clearly indicates the client's mood?
Correct Answer: C
Rationale: gives data that reflect client's feelings, tone, and behavior associated with those feelings, as well as content area of conversation that evoked that mood
Question 5 of 5
The nurse is assessing a pregnant client with problems of mitral stenosis and congestive heart failure (CHF). Which of the following in the client's history would have a direct correlation with her current problem?
Correct Answer: A
Rationale: most common cause of mitral valve problems is a history of rheumatic fever with a subsequent complication of carditis, which affects the valve