NCLEX-PN
NCLEX Trainer Test 5 Questions
Extract:
Question 1 of 5
You are teaching a client about the patient controlled analgesia (PCA) planned for post-operative care. Which statement indicates further teaching may be needed by the client?
Correct Answer: B
Rationale: Patient controlled analgesia offers the client more control. The client should be instructed to initiate additional doses as needed without asking for assistance unless there is insufficient control of the pain.
Question 2 of 5
The home care nurse is instructing a client recently diagnosed with tuberculosis.
Correct Answer: D
Rationale: Adherence to a 6-9 month medication regimen is critical to cure tuberculosis and prevent drug resistance. While respiratory precautions, family support, and masks are important, long-term medication compliance is the most essential for treatment success.
Question 3 of 5
The client is admitted to the unit with the following lab values. Which of the following lab values should be reported immediately?
Correct Answer: B
Rationale: A $\mathrm{PO}_2$ of 72% indicates severe hypoxemia, requiring immediate intervention. BUN, hemoglobin, and WBC values are less urgent.
Extract:
An older man is being prepared for discharge after treatment for dehydration.
Question 4 of 5
Which of the following statements, if made by the patient to the nurse, indicates that further teaching is needed?
Correct Answer: A
Rationale: Strategy: Determine how each answer choice relates to dehydration. Be careful, this is a negative question. (1) correct-would only indicate overhydration, not response to dehydration (2) will help prevent recurrence of dehydration, should force fluids to 3,000 cc/day (3) would give good indication of total intake (4) would indicate postural hypotension resulting from volume deficit
Extract:
Question 5 of 5
A client is discharged following hospitalization for congestive heart failure. The nurse teaching the family suggests they encourage the client to rest frequently in which of the following positions?
Correct Answer: A
Rationale: High Fowler's. This position decreases cardiac workload and facilitates breathing.