NCLEX Trainer Test 6 Questions

Question 1 of 5

A registered nurse (RN) asks the licensed practical nurse (LPN) to hang blood on a client. What is the best response by the LPN?

A. Carefully check the order and the client identification and hang the unit if all is in order.B. Ask the RN to verify the order and then administer as ordered.C. Hang the blood after taking baseline vital signs.D. Refuse to administer the blood.

Correct Answer: D

Rationale: LPN scope of practice typically excludes initiating blood transfusions due to the need for specialized monitoring, requiring RN administration.

Question 2 of 5

The nurse is reviewing procedures with the health care team. The nurse should intervene if an RN staff member makes which of the following statements?

A. It is my responsibility to ensure that the consent form has been signed and is attached to the patient's chart.'B. It is my responsibility to witness the signature of the patient before surgery is performed.'C. It is my responsibility to explain the surgery and ask the patient to sign the consent form.'D. It is my responsibility to answer questions that the patient may have before surgery.'

Correct Answer: C

Rationale: physician should provide explanation and obtain patient's signature

Question 3 of 5

A Schilling test is ordered for a female client who has pernicious anemia. It is to run from 8:00 A.M. to 8:00 A.M. the following day. How should the nurse plan care for this client?

A. Leave the urine container with the client at 8:00 A.M. Instruct her to collect all urine until 8:00 A.M. tomorrow. Pick up container at 8:00 A.M.B. Have the client empty her bladder at 8:00 A.M., and send this specimen to the lab. Instruct the client to collect all urine until 8:00 A.M. tomorrow.C. At 8:00 A.M., ask the client to empty her bladder. Put this specimen in the container and instruct the client to keep all urine until 8:00 A.M. tomorrow. Have her empty her bladder at 8:00 A.M. and discard the specimen.D. Have the client empty her bladder at 8:00 A.M. and discard. Instruct the client to collect all urine. At 8:00 A.M. tomorrow, have the client void, and collect this specimen.

Correct Answer: D

Rationale: The Schilling test requires a 24-hour urine collection starting after discarding the first void at 8:00 A.M. and including the final void at 8:00 A.M. the next day to measure B12 absorption accurately.

Extract:

A client had a radical mastectomy for cancer in her right breast.

Question 4 of 5

After the client returns to the unit, which of the following actions, if performed by the nurse, would be MOST appropriate?

A. Position the client on her left side with her right arm protected in a sling.B. Position the client on her right side with her right arm elevated.C. Position the client in semi-Fowler's position with her right arm elevated.D. Position the client in the prone position with her right arm elevated.

Correct Answer: C

Rationale: Strategy: All answers are implementations. Determine the outcome of each answer choice. Is it desired? (1) sling is not necessary, arm needs to be elevated (2) right arm cannot be elevated from this position (3) correct-this position will facilitate removal of fluid from venous pathways and lymphatic system through gravity; arm is elevated to enhance circulation and prevent edema (4) prone position is not appropriate

Extract:

Question 5 of 5

The nurse is teaching parents of an infant about introduction of solid food to their baby. What is the first food they can add to the diet?

A. VegetablesB. CerealC. FruitD. Meats

Correct Answer: B

Rationale: Cereal is usually introduced first because it is well tolerated, easy to digest, and contains iron.

NCLEX Trainer Test 6 Questions | Nurselytic

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