NCLEX RN Practice Questions 10 (Practice Mode)- Www.RNpedia.Com

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NCLEX RN Practice Questions 10 (Practice Mode)- Www.RNpedia.Com - Quiz

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Questions and Answers
  • 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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