NCLEX Trainer Test 7 Questions

Question 1 of 5

The nurse is teaching a client with a new diagnosis of epilepsy about valproic acid (Depakote). Which of the following instructions should the nurse include?

A. Take the medication with grapefruit juice.B. Report any bruising or bleeding.C. Stop the medication if seizures decrease.D. Avoid regular liver function Test s.

Correct Answer: B

Rationale: Valproic acid can cause thrombocytopenia; reporting bruising or bleeding is critical. Options A, C, and D are incorrect or unsafe.

Extract:

A client with a twenty-five-year history of alcohol abuse is seen in the outpatient clinic for treatment of chronic cirrhosis.

Question 2 of 5

Which of the following symptoms would suggest to the nurse that the client is in the early stages of hepatic encephalopathy?

A. The patient's abdomen is distended with a protruding umbilicus.B. The patient has difficulty describing what he does at work.C. The patient's respirations are 32, and he appears to be drowsy.D. The patient's upper extremities are adducted, and his lower extremities are internally rotated.

Correct Answer: B

Rationale: Strategy: Determine how each answer choice relates to hepatic encephalopathy. (1) ascites is symptom of cirrhosis (2) correct-impaired thought processes is early symptom (3) hyperventilation and stupor is late symptom (4) decerebrate/decorticate posturing late symptom

Extract:

Question 3 of 5

A 5-year old is admitted to the hospital with pneumonia. Her orders include chest physiotherapy, mist tent, and inhalation with Mucomyst (acetylcysteine). Which of the following measures should be included in her care?

A. Telling her to breathe in through her nose and breathe out through her mouthB. Applying lotion to the exposed parts of her bodyC. Checking her clothing and linen frequently for dampnessD. Obtaining a rectal temperature q 4 hours

Correct Answer: C

Rationale: Checking clothing and linen for dampness is necessary due to the mist tent, which can cause moisture buildup, leading to discomfort or skin issues.

Question 4 of 5

A man who has diabetes complains of hunger; is pale, shaky, and perspiring; and has cool skin. What is the most appropriate initial action for the nurse?

A. Call the physician for ordersB. Give the client cola to drinkC. Have the client lie downD. Administer the next dose of insulin

Correct Answer: B

Rationale: Symptoms indicate hypoglycemia; giving cola provides quick glucose to raise blood sugar. Calling the physician, lying down, or giving insulin delays or worsens the situation.

Question 5 of 5

The nurse is caring for an adult who is admitted in right heart failure. Which observation is most consistent with this condition?

A. Distended neck veinsB. Facial edemaC. Renal failureD. Constipation

Correct Answer: A

Rationale: Right heart failure causes systemic venous congestion, leading to distended neck veins due to increased jugular venous pressure. Facial edema, renal failure, and constipation are less specific to right heart failure.

NCLEX Trainer Test 7 Questions | Nurselytic

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