NCLEX TRAINER TEST 6 VERIFIED QUESTION WITH CORRECT ANSWERS 2024
1. The nurse returns to the nurse's station after making 2 client rounds and finds
... [Show More] four phone messages. Which of the following messages should the nurse return FIRST?
1. A client with hepatitis A who states, "My arms and legs are itching."
2. A client with a cast on the right leg who states, "I have a funny feeling in my right leg."
3. A client with osteomyelitis of the spine who states, "I am so nauseated that I can't eat."
4. A client with arthritis who states, "I am having trouble sleeping at night."
2. Following total hip arthroplasty, an elderly client is 2 ordered to begin ambulation with a walker. Which of the following statements by the nurse is BEST?
1. "Sit in a low chair for ease in getting up to use the walker."
2. "Make sure rubber caps are in place on all four legs of the walker."
3. "You will begin weight bearing on the affected hip soon."
4. "Practice tying your own shoes before you begin ambulating."
3. A client comes to the hospital at term in the early 2 stages of labor. A diagnosis of complete placenta previa is made. It is MOST important for the nurse to take which of the following actions?
1. Start an IV of terbutaline (Brethine) and monitor the patient's vital signs closely.
2. Prepare the patient for an immediate cesarean section.
3. Maintain the patient on bedrest until spontaneous vaginal delivery is achieved.
4. Monitor the patient's length and duration of con- tractions.
4. Which of the following nursing observations indi- 1 cates to the nurse that a child diagnosed with epiglot- titis is having an early complication of hypoxemia?
1. Heart rate of 148 beats per minute (bpm).
2. Bluish discoloration of the skin.
3. Bluish discoloration around the mouth.
4. Difficulty swallowing.
5. After stabilizing a client with severe multiple trauma 2 injuries from a motor vehicle accident, which of the following actions by the nurse is BEST?
1. Limit visiting hours to promote optimal rest.
2. Arrange for clergy to visit with the client and family as requested.
3. Arrange for a psychologist to visit with the family.
4. Arrange for the family to meet with a social worker to discuss financial aid.
6. The nurse's aide comes to take a client by wheelchair 3 for a magnetic resonance imaging (MRI) scan of the head and neck. Which of the following observations,
if made by the nurse, requires an intervention?
1. The client removes her dentures and gives them to her spouse.
2. The client's vital signs are BP 120/70, pulse 80, respirations 12, temperature 99°F (37.3°C).
3. The client has a nitroglycerine patch on the right chest area.
4. The client has red nail polish on both fingers and toes.
7. The neonatal nurse instructs the family of a new- 4
born about an apnea monitor. The nurse is MOST concerned if a family member makes which of the
following statements?
1. "We will be able to leave our baby for brief periods of time."
2. "We plan to sleep by our baby's crib."
3. "We can remove the monitor during our baby's bath."
4. "A family member will closely watch the monitor all the time."
8. A client has a cast applied for a fracture of the right 2 femur. Three hours later, the client complains that it is hot and painful under the cast. Which of the following is the MOST appropriate action for the nurse to take?
1. Assess the cast for wet spots, and increase air circulation in the room.
2. Check the circulation in the casted extremity, and change the client's position.
3. Take the client's temperature, and observe for oth- er signs of infection.
4. Medicate the client for pain, and notify the physi- cian of his complaint.
9. A client is admitted to the hospital with dry mucous 2 membranes and decreased skin turgor. The client's vital signs are BP 120/70, temperature 101°F (38.3°C), pulse 88, respirations 14. Laboratory tests indicate the serum sodium is 150 mEq/L and the Hct is 48%. The nurse expects the physician to order which of the following IV fluids?
1. D5NS.
2. 0.45% NaCl.
3. 0.9% NaCl.
4. Lactated Ringer's.
10. Which of the following plans is MOST appropriate for 3
the nurse to use to prepare a 10-year-old for a cardiac [Show Less]