NCLEX PN - Predictor Test Questions With Complete Solution

NCLEX PN - Predictor Test Questions With Complete Solution The nurse on an inpatient mental health unit is caring with the paranoid delusions who is refusing to eat. The client states that all the food and drinks have been poisoned. Which intervention by the nurse is appropriate? - CORRECT ANSWER Provide the client food in unopened single serving packages After listening to the parents' report and seeing the ff pediatric clients, the nurse knows that which client demonstrates signs of abuse that may necessitate mandatory reporting? - CORRECT ANSWER 5- year old whose x- ray reveals 1 new and 2 healed humerus fractures after falling from a tree. The nurse is discussing the care needs of a client in the last stage of Huntington disease with the family. When the nurse mentions arranging for delivery of a prescribed hospital bed, the client's spouse becomes visibly upset and says, "No hospital bed. I'm just not ready for it yet." What is the best response by the nurse? - CORRECT ANSWER What upsets you about having hospital bed? The nurse administers ondansetron to a hospitalized client. Which statement would indicate to the nurse that the ondansetron was effective? - CORRECT ANSWER The nausea is a lot better The nurse has just received report on 4 clients. Which client should the nurse see first? - CORRECT ANSWER Client receiving IV normal saline at 250 mL/hr who is reporting puffy legs and a new cough An unaccompanied 16 year old girl comes to the emergency department with a severe abdominal pain and vomiting. The client has a temp of 102.2 F (39 C) and a pulse of 120/min and is lethargic. The client's parents are out of town, and no guardians can be reached. How should the client's care be handled? - CORRECT ANSWER Administer care until the parents or guardians can be reached. The nurse reinforces teaching to the parents of a 12 month old who has begun weaning from breastfeeding. Which statement by the parents indicates that teaching has been effective? - CORRECT ANSWER I can start substituting breastfeeding sessions with whole cow's milk The child with congenital heart disease who weighs 88 lbs is prescribed furosemide 1 mg/kg by mouth every 8 hours. It is available as an oral solution of 10 mg/mL. How many milliliter (mL) of furosemide should the nurse administer to the client for each dose? - CORRECT ANSWER prescription x available data - mL/dose 4ml The nurse cares for a client with a terminal disease who has an advanced directive supporting a do not resuscitate (DNR) code status. The client stops breathing and loses a pulse. The client's adult client states, "I changed my mind. Do whatever you can to save him!" Which intervention is most appropriate at the time? - CORRECT ANSWER Explain the client's wishes to the client's child The nurse speaks with a client with schizophrenia who begins to look away toward the door and grimace. Which statement by the nurse is most therapeutic at this time? - CORRECT ANSWER What do you see at the door? The nurse reinforces teaching to a 15 year primigravid client at 16 weeks gestation during an initial prenatal visit. Which information would be a priority for the nurse to include? - CORRECT ANSWER Stress the importance of consistent prenatal care. A female client is visiting the clinic for an annual well-woman examination. The client reports having had sex with women. Which question will help the nurse determine the client's risk for sexually transmitted infections? - CORRECT ANSWER What barrier methods do you and your partner use? While the nurse is transporting a client to a new unit, the client's chest tube drainage system falls off the bed and the tube becomes dislodged from the chest wall. What is the nurse's priority action? - CORRECT ANSWER Firmly cover the insertion site with the palm of a clean, gloved hand. The nurse cares for a client with a burn on the arm and finds that the area is red, moist, and covered in shiny, fluid-filled vesicle. Which burn stage does the nurse document? - CORRECT ANSWER second degree A nurse in the emergency department is caring for a client should the nurse see first? - CORRECT ANSWER Client with myasthenia gravis who has a fever and increasing difficulty swallowing. The nurse is caring for a client who has been treated for depression and suicidal ideation. Which client statement best Indicates that the client is not currently at risk for suicide? - CORRECT ANSWER I plan to attend my granddaughter's graduation next month The nurse removes personal protective equipment (PPE) after completing a wound dressing change for a client transmission-based precautions. Which PPE should the nurse remove first. - CORRECT ANSWER Gloves The nurse is caring for client taking escitalopram who reports no improvement of depressive feelings since starting the medication 2 months ago. What is the best response by the nurse? - CORRECT ANSWER Let's talk more about how you have been taking this medication The client admitted to the psychiatric unit with severe anxiety is pacing rapidly in the room, crying, and hyperventilating. The client yells, "I can't believe you took my belonging! Where are you keeping them? This is so frustrating!" What is the appropriate response by the nurse? - CORRECT ANSWER "Your belongings are locked in a safe place to ensure that they are protected while you are here." The nurse is caring for a new mother whose infant has been diagnosed with Down syndrome. The client says to the nurse, "I'm so worried. My husband is so devastated that he won't even look at the baby." What is the best response by the nurse? - CORRECT ANSWER How are you feeling about you baby? The new nurse reinforcing teaching to a client scheduled for electroconvulsive therapy (ECT). What information given by the new nurse would cause the charge nurse to intervene? - CORRECT ANSWER Be sure to take your vampiric acid prior to the procedure. The nurse is reinforcing self care and medication teaching for a client diagnosed with vaginal candidiasis who has been prescribed miconazole vaginal cream. Which statement by the client indicates that further teaching is needed? - CORRECT ANSWER I will refrain from having sex until my partner is also tested for the infection