NCLEX Trainer Test 10 Questions

Question 1 of 5

The nurse in the outpatient clinic teaches a young adult with a sprained right ankle to walk with a cane. While teaching the client to use the cane, how should the nurse be positioned?

A. Standing on the client's left side and slightly behind the client.B. Standing on the client's right with one hand on the client's waist.C. Standing directly in front of the woman with both hands on the client's arms.D. Standing in front of the client on the right side.

Correct Answer: A

Rationale: stand slightly behind patient on strong side

Extract:

The mother of a seven-year-old child is dying.

Question 2 of 5

The nurse should anticipate that the seven-year-old child would have which of the following concepts of death?

A. Death is punishment for his/her actions.B. Death is inevitable and irreversible.C. Death is temporary and gradual.D. Death as a concept based on past experience.

Correct Answer: A

Rationale: Strategy: Remember growth and development. (1) correct-seven-year-olds see death as a punishment (2) by age of 9, most children begin to develop an adult concept of death and begin to understand that death is irreversible (3) is a preschool child's concept of death (4) is an adolescent's concept of death

Extract:

Question 3 of 5

A client is receiving a blood transfusion. Fifteen minutes after the transfusion begins, the client develops a fever and chills. Which of the following actions should the nurse take FIRST?

A. Stop the transfusion immediately.B. Notify the physician.C. Administer acetaminophen.D. Increase the infusion rate.

Correct Answer: A

Rationale: fever and chills may indicate a transfusion reaction, and the transfusion must be stopped immediately

Extract:

A client with internal radiation.

Question 4 of 5

Which of the following actions, if taken by the nurse, is MOST important?

A. Restrict visitors who may have an upper respiratory infection.B. Assign only male caregivers to the client.C. Plan nursing activities to decrease nurse exposure.D. Wear a lead-lined apron whenever delivering client care.

Correct Answer: C

Rationale: Strategy: Answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) all visitors are restricted with regard to the distance they should be from the client (2) not relevant to the situation (3) correct-principles for radiation therapy are time, distance, shielding; nurse should decrease the time spent in close proximity to the client (4) appropriate shielding (lead aprons) is to be used when the nurse has to spend any length of time at a close distance, not just for routine care

Extract:

Question 5 of 5

The nurse is monitoring a 20-year-old woman in active labor who is receiving oxytocin (Pitocin) 1 mU/min IV. The nurse should stop the infusion if

A. the contractions occur at 3-minute intervals and last more than 60 seconds.B. the contractions occur at 2.5-minute intervals and last more than 60 seconds.C. the contractions occur at 2-minute intervals and last more than 90 seconds.D. the contractions occur at 2-minute intervals and last more than 60 seconds.

Correct Answer: C

Rationale: contractions should be less frequent (longer than 2-minute intervals) and should be of shorter duration (less than 90 seconds) allows for longer resting time between contractions

NCLEX Trainer Test 10 Questions | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN