NCLEX Trainer Test 5
Question 1 of 5.
The nurse's neighbor complains to the nurse that he feels tired all the time. Which comment suggests to the nurse that the man may have a serious sleep disorder?
A. My wife complains because I snore off and on all night.'
B. I like to nap in the afternoon.'
C. I wake up early every morning.'
D. My muscles seem to jerk as I fall asleep.'
Explanation: Snoring may indicate sleep apnea, a serious disorder causing fatigue, unlike napping, early waking, or muscle jerks, which are less concerning.
Question 2 of 5.
A 16-year-old client is admitted for elective surgery. The LPN is asked to have the child's mother sign the operative permit. Which action by the nurse is most appropriate?
A. Have the parent sign the permit form
B. Refuse to ask the parent to sign the permit form
C. Ask the unit secretary to have the parent sign the permit form
D. Have both the child and the parent sign the permit form
Explanation: For minors, a parent or guardian must sign the operative permit, as they provide legal consent for the procedure.
Question 3 of 5.
A 3-year-old child who is up to date with all immunizations is seen at clinic. The child has a fever of 102°F and a pruritic rash with fluid-filled vesicles that began on the trunk. The physician says the child has varicella. The child's mother says to the nurse, 'I thought my child couldn't get this because she had all her shots.' What is the best response for the nurse to make?
A. You child probably did not respond to the vaccine as most children do.
B. The nurse must not have administered it correctly.
C. It is still possible to contract the illness, but your child will most likely have a less severe case.
D. The vaccine is only effective after the child has received two doses.
Explanation: The varicella vaccine reduces severity but does not guarantee immunity; breakthrough cases are milder, as indicated by the child's symptoms.
Question 4 of 5.
The nurse is caring for a client who is in ketoacidosis. Which blood gas values are most consistent with the diagnosis?
A. pH=7.32, pCO2=60, HCO3=30, pO2=60
B. pH=7.32, pCO2=32, HCO3=14, pO2=92
C. pH=7.50, pCO2=28, HCO3=24, pO2=90
D. pH=7.52, pCO2=50, HCO3=34, pO2=88
Explanation: Diabetic ketoacidosis causes metabolic acidosis: low pH, low HCO3, and low pCO2 due to compensatory hyperventilation.
Question 5 of 5.
The spouse of a client who had an angioplasty following a heart attack says to the nurse, 'What is an angioplasty? It sounds like plastic surgery. My husband had a heart attack.' What information should be included in the nurse's response?
A. An angioplasty repairs the heart damage caused by the heart attack.
B. During an angioplasty, the physician creates a bypass around blocked arteries, increasing the blood flow to the heart muscle.
C. Angioplasty is a diagnostic procedure to see if there are any blocked coronary arteries.
D. During an angioplasty, the physician uses a balloon-tipped catheter to open up an artery that is blocked by a clot, thus increasing blood flow to the heart muscle.
Explanation: An angioplasty is the insertion of a balloon-tipped catheter into a coronary artery. The balloon is inflated, opening up the artery and increasing blood flow through the coronary artery to the heart muscle. Angioplasty does not repair heart damage. A left heart cardiac catheterization is the diagnostic procedure that precedes angioplasty. Answer 2 describes a coronary artery bypass graft (CABG) procedure.
Related Questions