NCLEX RN Practice Questions 10 (Exam Mode) By RNpedia.Com
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- 1.The client is having an arteriogram. During the procedure, the client tells the nurse, "I’m feeing really hot." Which response would be best?
- A.
"You are having an allergic reaction. I will get an order for Benadryl."
- B.
"That feeling of warmth is normal when the dye is injected."
- C.
"That feeling of warmth indicates that the clots in the coronary vessels are dissolving."
- D.
"I will tell your doctor and let him explain to you the reason for the hot feeling that you are experiencing."
- 2.The nurse is observing several healthcare workers providing care. Which action by the healthcare worker indicates a need for further teaching?
- A.
The nursing assistant wears gloves while giving the client a bath.
- B.
The nurse wears goggles while drawing blood from the client.
- C.
The doctor washes his hands before examining the client.
- D.
The nurse wears gloves to take the client’s vital signs.
- 3.The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client’s ECT has been effective?
- A.
The client loses consciousness
- B.
The client vomits.
- C.
The client’s ECG indicates tachycardia
- D.
The client has a grand mal seizure
- 4.The 5-year-old is being tested for enterobiasis (pinworms). To collect a specimen for assessment of pinworms, the nurse should teach the mother to:
- A.
Examine the perianal area with a flashlight 2 or 3 hours after the child is asleep
- B.
Scrape the skin with a piece of cardboard and bring it to the clinic
- C.
Obtain a stool specimen in the afternoon
- D.
Bring a hair sample to the clinic for evaluation
- 5.The nurse is teaching the mother regarding treatment for enterobiasis. Which instruction should be given regarding the medication?
- A.
Treatment is not recommended for children less than 10 years of age
- B.
The entire family should be treated
- C.
Medication therapy will continue for 1 year
- D.
Intravenous antibiotic therapy will be ordered
- 6.The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
- A.
The client receiving linear accelerator radiation therapy for lung cancer
- B.
The client with a radium implant for cervical cancer
- C.
The client who has just been administered soluble brachytherapy for thyroid cancer
- D.
The client who returned from placement of iridium seeds for prostate cancer
- 7.The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?
- A.
The client with Cushing’s disease
- B.
The client with diabetes
- C.
The client with acromegaly
- D.
The client with myxedema
- 8.The nurse caring for a client in the neonatal intensive care unit administers adult-strength Digitalis to the 3-pound infant. As a result of her actions, the baby suffers permanent heart and brain damage. The nurse can be charged with:
- A.
Negligence
- B.
Tort
- C.
Assault
- D.
Malpractice
- 9.Which assignment should not be performed by the licensed practical nurse?
- A.
Inserting a Foley catheter
- B.
Discontinuing a nasogastric tube
- C.
Obtaining a sputum specimen
- D.
Starting a blood transfusion
- 10.The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, and respirations 30. Which action by the nurse should receive priority?
- A.
Continuing to monitor the vital signs
- B.
Contacting the physician
- C.
Asking the client how he feels
- D.
Asking the LPN to continue the post-op care
- 11.Which nurse should be assigned to care for the postpartal client with preeclampsia?
- A.
The RN with 2 weeks of experience in postpartum
- B.
The RN with 3 years of experience in labor and delivery
- C.
The RN with 10 years of experience in surgery
- D.
The RN with 1 year of experience in the neonatal intensive care unit
- 12.Which information should be reported to the state Board of Nursing?
- A.
The facility fails to provide literature in both Spanish and English.
- B.
The narcotic count has been incorrect on the unit for the past 3 days.
- C.
The client fails to receive an itemized account of his bills and services received during his hospital stay.
- D.
The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.
- 13.The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:
- A.
Call the Board of Nursing
- B.
File a formal reprimand
- C.
Terminate the nurse
- D.
Charge the nurse with a tort
- 14.The home health nurse is planning for the day’s visits. Which client should be seen first?
- A.
The 78-year-old who had a gastrectomy 3 weeks ago and has a PEG tube
- B.
The 5-month-old discharged 1 week ago with pneumonia who is being treated with amoxicillin liquid suspension
- C.
He 50-year-old with MRSA being treated with Vancomycin via a PICC line
- D.
The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter
- 15.The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?
- A.
A schizophrenic client having visual and auditory hallucinations and the client with ulcerative colitis
- B.
The client who is 6 months pregnant with abdominal pain and the client with facial lacerations and a broken arm
- C.
A child whose pupils are fixed and dilated and his parents, and a client with a frontal head injury
- D.
The client who arrives with a large puncture wound to the abdomen and the client with chest pain
- 16.The nurse is caring for a 6-year-old client admitted with a diagnosis of conjunctivitis. Before administering eyedrops, the nurse should recognize that it is essential to consider which of the following?
- A.
The eye should be cleansed with warm water, removing any exudate, before instilling the eyedrops.
- B.
The child should be allowed to instill his own eyedrops.
- C.
The mother should be allowed to instill the eyedrops.
- D.
If the eye is clear from any redness or edema, the eyedrops should be held.
- 17.The nurse is discussing meal planning with the mother of a 2-year-old toddler. Which of the following statements, if made by the mother, would require a need for further instruction?
- A.
"It is okay to give my child white grape juice for breakfast."
- B.
"My child can have a grilled cheese sandwich for lunch."
- C.
"We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch."
- D.
"For a snack, my child can have ice cream."
- 18.A 2-year-old toddler is admitted to the hospital. Which of the following nursing interventions would you expect?
- A.
Ask the parent/guardian to leave the room when assessments are being performed.
- B.
Ask the parent/guardian to take the child’s favorite blanket home because anything from the outside should not be brought into the hospital.
- C.
Ask the parent/guardian to room-in with the child.
- D.
If the child is screaming, tell him this is inappropriate behavior.
- 19.Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?
- A.
Remove the mold and clean every week.
- B.
Store the hearing aid in a warm place.
- C.
Clean the lint from the hearing aid with a toothpick.
- D.
Change the batteries weekly.
- 20.A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:
- A.
Body image disturbance
- B.
Impaired verbal communication
- C.
Risk for aspiration
- D.
Pain
- 21.A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?
- A.
High fever
- B.
Nonproductive cough
- C.
Rhinitis
- D.
Vomiting and diarrhea
- 22.The nurse is caring for a client admitted with epiglottis. Because of the possibility of complete obstruction of the airway, which of the following should the nurse have available?
- A.
Intravenous access supplies
- B.
A tracheostomy set
- C.
Intravenous fluid administration pump
- D.
Supplemental oxygen
- 23.A 25-year-old client with Grave’s disease is admitted to the unit. What would the nurse expect the admitting assessment to reveal?
- A.
Bradycardia
- B.
Decreased appetite
- C.
Exophthalmos
- D.
Weight gain
- 24.The nurse is providing dietary instructions to the mother of an 8-year-old child diagnosed with celiac disease. Which of the following foods, if selected by the mother, would indicate her understanding of the dietary instructions?
- A.
Ham sandwich on whole-wheat toast
- B.
Spaghetti and meatballs
- C.
Hamburger with ketchup
- D.
Cheese omelet
- 25.The nurse is caring for an 80-year-old with chronic bronchitis. Upon the morning rounds, the nurse finds an O2 sat of 76%. Which of the following actions should the nurse take first?
- A.
Notify the physician
- B.
Recheck the O2 saturation level in 15 minutes
- C.
Apply oxygen by mask
- D.
Assess the child’s pulse
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