NCLEX Trainer Test 3
Question 1 of 5.
Extract:A client with a gastric ulcer compared to a friend's duodenal ulcer.
The nurse's response should be based on which of the following statements?
A. Gastric ulcers have an increased association with clients who experience increased psychological pressures.'
B. The pain of a duodenal ulcer usually occurs two to four hours after meals.'
C. Clients with gastric ulcers often gain weight, as food alleviates the pain.'
D. Antacids such as Maalox are seldom prescribed for clients with duodenal ulcers.'
Explanation: Strategy: Think about each answer choice. (1) refers to duodenal ulcers (2) correct-clients with duodenal ulcers experience pain after meals, e.g., midmorning and midafternoon (3) gastric ulcer clients may be malnourished because food may cause nausea or vomiting (4) antacids are given to duodenal ulcer clients
Question 2 of 5.
An alert adult who has terminal cancer says to the home care nurse, 'When the time comes for me to go, I don't want to be in pain and I don't want you to try to resuscitate me. Please promise me you won't.' How should the nurse respond?
A. Of course, I will do as you wish.
B. I am obligated to try and preserve life.
C. Do you have advance directives? These need to be in your record.
D. Be sure to tell each nurse your desires.
Explanation: Asking about advance directives ensures the client's wishes are documented and legally binding, facilitating appropriate end-of-life care.
Question 3 of 5.
An adult is receiving lithium carbonate 600 mg tid. Which of the following observations is of greatest concern to the nurse?
A. The serum lithium level is 1.0 mEq/L.
B. The client states that she is going to go on a low-sodium diet.
C. The client has gaining 10 lb in the last three months.
D. The client says, 'I always drink a lot of water when I take the pills.'
Explanation: A low-sodium diet increases lithium retention, risking toxicity, a serious concern requiring immediate education or intervention.
Question 4 of 5.
An adult has the following blood gasses: pH=7.52, pCO2=50, HCO3=35, and pO2=90. What is most likely to be in the client's history of presenting signs and symptoms?
A. Persistent diarrhea
B. Frequent vomiting
C. Anxiety attack
D. Emphysema
Explanation: High pH and HCO3 indicate metabolic alkalosis, commonly caused by frequent vomiting, losing gastric acid.
Question 5 of 5.
Docusate sodium (Colace) is ordered for an adult who had a myocardial infarction yesterday. The client asks the nurse why docusate sodium is prescribed. The nurse's response should include which information?
A. Colace is prescribed to make it take longer for blood to clot.
B. Colace makes it easier for the client to relax and reduce stress.
C. Colace helps lower cholesterol levels.
D. Colace reduces straining at stool.
Explanation: Docusate sodium is a stool softener, reducing straining during bowel movements, which decreases cardiac strain post-MI.
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