NCLEX: How Much You Can Score In This Nursing Exam? Quiz

24 Questions | Total Attempts: 2377

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NCLEX: How Much You Can Score In This Nursing Exam? Quiz - Quiz

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Questions and Answers
  • 1. 
    What equipment would be necessary to complete an evaluation of cranial nerves 9 and 10 during a physical assessment?
    • A. 

      A cotton ball

    • B. 

      A pen light

    • C. 

      An ophthalmoscope

    • D. 

      A tongue depressor and flashlight

  • 2. 
    Which technique would be best in caring for a client following receiving a diagnosis of a state IV tumor in the brain?
    • A. 

      Offering the client pamphlets on support groups for brain cancer

    • B. 

      Asking the client if there is anything he or his family needs

    • C. 

      Reminding the client that advances in technology are occurring everyday

    • D. 

      Providing accurate information about the disease and treatment options

  • 3. 
    An 8.5 lb, 6 oz infant is delivered to a diabetic mother. Which nursing intervention would be implemented when the neonate becomes jittery and lethargic?
    • A. 

      Administer insulin

    • B. 

      Administer oxygen

    • C. 

      Feed the infant glucose water (10%)

    • D. 

      Place infant in a warmer

  • 4. 
    What question would be most important to ask a male client who is in for a digital rectal examination?
    • A. 

      “Have you noticed a change in the force of the urinary system?”

    • B. 

      “Have you noticed a change in tolerance of certain foods in your diet?”

    • C. 

      “Do you notice polyuria in the AM?”

    • D. 

      “Do you notice any burning with urination or any odor to the urine?”

  • 5. 
    The nurse assesses a prolonged late deceleration of the fetal heart rate while the client is receiving oxytocin (Pitocin) IV to stimulate labor. The priority nursing intervention would be to:
    • A. 

      Turn off the infusion

    • B. 

      Turn the client to the left

    • C. 

      Change the fluid to Ringer’s Lactate

    • D. 

      Increase mainline IV rate

  • 6. 
    Which nursing approach would be most appropriate to use while administering an oral medication to a 4 month old?
    • A. 

      Place medication in 45cc of formula

    • B. 

      Place medication in an empty nipple

    • C. 

      Place medication in a full bottle of formula

    • D. 

      Place in supine position. Administer medication using a plastic syringe

  • 7. 
    Which nursing intervention would be a priority during the care of a 2 month old after surgery?
    • A. 

      Minimize stimuli for the infant

    • B. 

      Restrain all extremities

    • C. 

      Encourage stroking of the infant

    • D. 

      Demonstrate to the mother how she can assist with her infant’s care.

  • 8. 
    While performing a physical examination on a newborn, which assessment should be reported to the physician?
    • A. 

      Head circumference of 40 cm

    • B. 

      Chest circumference of 32 cm

    • C. 

      Acrocyanosis and edema of the scalp

    • D. 

      Heart rate of 160 and respirations of 40

  • 9. 
    Which action by the mother of a preschooler would indicate a disturbed family interaction?
    • A. 

      Tells her child that if he does not sit down and shut up she will leave him there.

    • B. 

      Explains that the injection will burn like abee sting.

    • C. 

      Ells her child that the injection can be given while he’s in her lap

    • D. 

      Reassures child that it is acceptable to cry.

  • 10. 
    During the history, which information from a 21 year old client would indicate a risk for development of testicular cancer?
    • A. 

      Genital Herpes

    • B. 

      Hydrocele

    • C. 

      Measles

    • D. 

      Undescended testicle

  • 11. 
    While caring for a client, the nurse notes a pulsating mass in the client’s periumbilical area. Which of the following assessments is appropriate for the nurse to perform?
    • A. 

      Measure the length of the mass

    • B. 

      Auscultate the mass

    • C. 

      Percuss the mass

    • D. 

      Palpate the mass

  • 12. 
    When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?
    • A. 

      Competitive board games with older children

    • B. 

      Playing with their own toys along side with other children

    • C. 

      Playing alone with hand held computer games

    • D. 

      Playing cooperatively with other preschoolers

  • 13. 
    The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?
    • A. 

      Formula or breast milk

    • B. 

      Dilute nonfat dry milk

    • C. 

      Warmed fruit juice

    • D. 

      Fluoridated tap water

  • 14. 
    While the nurse is administering medications to a client, the client states “I do not want to take that medicine today.” Which of the following responses by the nurse would be best?
    • A. 

      “That’s OK, its all right to skip your medication now and then.”

    • B. 

      “I will have to call your doctor and report this.”

    • C. 

      “Is there a reason why you don’t want to take your medicine?”

    • D. 

      “Do you understand the consequences of refusing your prescribed treatment?”

  • 15. 
    The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate finding?
    • A. 

      Hold a rattle

    • B. 

      Bang two blocks

    • C. 

      Drink from a cup

    • D. 

      Wave “bye-bye”

  • 16. 
    The nurse should recognize that all of the following physical changes of the head and face are associated with the aging client except:
    • A. 

      Pronounced wrinkles on the face.

    • B. 

      Decreased size of the nose and ears.

    • C. 

      Increased growth of facial hair.

    • D. 

      Neck wrinkles.

  • 17. 
    All of the following characteristics would indicate to the nurse that an elder client might experience undesirable effects of medicines except:
    • A. 

      Increased oxidative enzyme levels.

    • B. 

      Alcohol taken with medication.

    • C. 

      Medications containing magnesium.

    • D. 

      Decreased serum albumin

  • 18. 
    When assessing a newborn whose mother consumed alcohol during the pregnancy, the nurse would assess for which of these clinical manifestations?
    • A. 

      Wide-spaced eyes, smooth filtrum, flattened nose

    • B. 

      Strong tongue thrust, short palpebral fissures, simean crease

    • C. 

      Negative Babinski sign, hyperreflexia, deafness

    • D. 

      Shortened limbs, increased jitteriness, constant sucking

  • 19. 
    Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?
    • A. 

      “Tell me where you hurt.”

    • B. 

      “Other children like having their blood pressure taken.”

    • C. 

      “This will be like having a little stick in your arm.”

    • D. 

      “Anything you tell me is confidential.”

  • 20. 
    A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse?
    • A. 

      Explain to the client that the dentures must come out as they may get lost or broken in the operating room

    • B. 

      Ask the client if there are second thoughts about having the procedure

    • C. 

      Notify the anesthesia department and the surgeon of the client’s refusal

    • D. 

      Ask the client if the preference would be to remove the dentures in the operating room receiving area

  • 21. 
    The nurse is assessing a client who states her last menstrual period was March 17, and she has missed one period. She reports episodes of nausea and vomiting. Pregancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?
    • A. 

      November 8

    • B. 

      May 15

    • C. 

      February 21

    • D. 

      December 24

  • 22. 
    The family of a 6 year-old with a fractured femur asks the nurse if the child’s height will be affected by the injury. Which statement is true concerning long bone fractures in children?
    • A. 

      Growth problems will occur if the fracture involves the periosteum

    • B. 

      Epiphyseal fractures often interrupt a child’s normal growth pattern

    • C. 

      Children usually heal very quickly, so growth problems are rare

    • D. 

      Adequate blood supply to the bone prevents growth delay after fractures

  • 23. 
    A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the bestreality orientation for this client?
    • A. 

      “Good morning. Do you remember where you are?”

    • B. 

      “Hello. My name is Elaine Jones and I am your nurse for today.”

    • C. 

      "How are you today? Remember, you’re in the hospital.”

    • D. 

      “Good morning. You’re in the hospital. I am your nurse Elaine Jones.”

  • 24. 
    When a client wishes to improve the appearance of their eyes by removing excess skin from the face and neck, the nurse should provide teaching regarding which of the following procedures?
    • A. 

      Dermabrasion

    • B. 

      Rhinoplasty

    • C. 

      Blepharoplasty

    • D. 

      Rhytidectomy

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