NCLEX RN Practice Questions 14 (Exam Mode) By RNpedia.Com

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NCLEX RN Practice Questions 14 (Exam Mode) By RNpedia.Com - Quiz

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Questions and Answers
  • 1. 
    A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for: 
    • A. 

      Depression and suicidal ideation

    • B. 

      Tachycardia and diarrhea

    • C. 

      Muscle cramping and abdominal pain

    • D. 

      Tachycardia and euphoric mood

  • 2. 
    During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position? 
    • A. 

      Right breech presentation

    • B. 

      Right occipital anterior presentation

    • C. 

      Left sacral anterior presentation

    • D. 

      Left occipital transverse presentation

  • 3. 
    The primary physiological alteration in the development of asthma is: 
    • A. 

      Bronchiolar inflammation and dyspnea

    • B. 

      Hypersecretion of abnormally viscous mucus

    • C. 

      Infectious processes causing mucosal edema

    • D. 

      Spasm of bronchiolar smooth muscle

  • 4. 
    A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should: 
    • A. 

      Serve high-calorie foods she can carry with her

    • B. 

      Encourage her appetite by sending out for her favorite foods

    • C. 

      Serve her small, attractively arranged portions

    • D. 

      Allow her in the unit kitchen for extra food whenever she pleases

  • 5. 
    To maintain Bryant’s traction, the nurse must make certain that the child’s: 
    • A. 

      Hips are resting on the bed, with the legs suspended at a right angle to the bed

    • B. 

      Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    • C. 

      Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    • D. 

      Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

  • 6. 
    Which action by the nurse indicates understanding of herpes zoster? 
    • A. 

      The nurse covers the lesions with a sterile dressing.

    • B. 

      The nurse wears gloves when providing care.

    • C. 

      The nurse administers a prescribed antibiotic.

    • D. 

      The nurse administers oxygen

  • 7. 
    The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab for them to collect the blood: 
    • A. 

      15 minutes after the infusion

    • B. 

      30 minutes before the infusion

    • C. 

      1 hour after the infusion

    • D. 

      2 hours after the infusion

  • 8. 
    The client using a diaphragm should be instructed to: 
    • A. 

      Refrain from keeping the diaphragm in longer than 4 hours

    • B. 

      Keep the diaphragm in a cool location

    • C. 

      Have the diaphragm resized if she gains 5 pounds

    • D. 

      Have the diaphragm resized if she has any surgery

  • 9. 
    The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?
    • A. 

      "I’m wearing a support bra."

    • B. 

      "I’m expressing milk from my breast."

    • C. 

      "I’m drinking four glasses of fluid during a 24-hour period."

    • D. 

      "While I’m in the shower, I’ll allow the water to run over my breasts."

  • 10. 
    Damage to the VII cranial nerve results in: 
    • A. 

      Facial pain

    • B. 

      Absence of ability to smell

    • C. 

      Absence of eye movement

    • D. 

      Tinnitus

  • 11. 
    A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may: 
    • A. 

      Cause diarrhea

    • B. 

      Change the color of her urine

    • C. 

      Cause mental confusion

    • D. 

      Cause changes in taste

  • 12. 
    Which of the following tests should be performed before beginning a prescription of Accutane? 
    • A. 

      Check the calcium level

    • B. 

      Perform a pregnancy test

    • C. 

      Monitor apical pulse

    • D. 

      Obtain a creatinine level

  • 13. 
    A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?
    • A. 

      Limit the client’s activity

    • B. 

      Encourage a high-carbohydrate diet

    • C. 

      Utilize an incentive spirometer to improve respiratory function

    • D. 

      Encourage fluids

  • 14. 
    A client is admitted for an MRI. The nurse should question the client regarding: 
    • A. 

      Pregnancy

    • B. 

      A titanium hip replacement

    • C. 

      Allergies to antibiotics

    • D. 

      Inability to move his feet

  • 15. 
    The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?
    • A. 

      Changes in vision

    • B. 

      Nausea

    • C. 

      Urinary frequency

    • D. 

      Changes in skin color

  • 16. 
    The nurse should visit which of the following clients first? 
    • A. 

      The client with diabetes with a blood glucose of 95mg/dL

    • B. 

      The client with hypertension being maintained on Lisinopril

    • C. 

      The client with chest pain and a history of angina

    • D. 

      The client with Raynaud’s disease

  • 17. 
    A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication: 
    • A. 

      Once per day in the morning

    • B. 

      Three times per day with meals

    • C. 

      Once per day at bedtime

    • D. 

      Four times per day

  • 18. 
    Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens? 
    • A. 

      The lens controls stimulation of the retina.

    • B. 

      The lens orchestrates eye movement.

    • C. 

      The lens focuses light rays on the retina.

    • D. 

      The lens magnifies small objects.

  • 19. 
    A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to: 
    • A. 

      Anesthetize the cornea

    • B. 

      Dilate the pupils

    • C. 

      Constrict the pupils

    • D. 

      Paralyze the muscles of accommodation

  • 20. 
    A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops? 
    • A. 

      Allow 5 minutes between the two medications.

    • B. 

      The medications may be used together.

    • C. 

      The medications should be separated by a cycloplegic drug

    • D. 

      The medications should not be used in the same client.

  • 21. 
    The client with color blindness will most likely have problems distinguishing which of the following colors? 
    • A. 

      Orange

    • B. 

      Violet

    • C. 

      Red

    • D. 

      White

  • 22. 
    The client with a pacemaker should be taught to: 
    • A. 

      Report ankle edema

    • B. 

      Check his blood pressure daily

    • C. 

      Refrain from using a microwave oven

    • D. 

      Monitor his pulse rate

  • 23. 
    The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after: 
    • A. 

      1900

    • B. 

      1200

    • C. 

      1000

    • D. 

      0700

  • 24. 
    Which of the following diet instructions should be given to the client with recurring urinary tract infections? 
    • A. 

      Increase intake of meats.

    • B. 

      Avoid citrus fruits.

    • C. 

      Perform pericare with hydrogen peroxide.

    • D. 

      Drink a glass of cranberry juice every day.

  • 25. 
    The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs? 
    • A. 

      "I will make sure I eat breakfast within 2 hours of taking my insulin."

    • B. 

      "I will need to carry candy or some form of sugar with me all the time."

    • C. 

      "I will eat a snack around three o’clock each afternoon."

    • D. 

      "I can save my dessert from supper for a bedtime snack."

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