NCLEX RN Practice Questions 16 (Exam Mode) By RNpedia.Com

25 Questions | By Rnpedia | Last updated: Mar 22, 2022 | Total Attempts: 3069

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NCLEX RN Practice Questions 16 (Exam Mode) By RNpedia.Com - Quiz

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Questions and Answers

1.

The primary reason for rapid continuous rewarming of the area affected by frostbite is to:
- A.
  
  Lessen the amount of cellular damage
- B.
  
  Prevent the formation of blisters
- C.
  
  Promote movement
- D.
  
  Prevent pain and discomfort
2.

A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:
- A.
  
  Eliminating plasma proteins from the blood
- B.
  
  Lowering the pH by removing nonvolatile acids
- C.
  
  Filtering waste through a dialyzing membrane
- D.
  
  Passing water through a dialyzing membrane
3.

During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?
- A.
  
  Administer an antibiotic
- B.
  
  Contact the physician for an order for immune globulin
- C.
  
  Administer an antiviral
- D.
  
  Tell the client that he should remain in isolation for 2 weeks
4.

A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?
- A.
  
  The client should be placed in a room with negative pressure.
- B.
  
  Infection requires close contact; therefore, the door may remain open.
- C.
  
  Transmission is highly likely, so the client should wear a mask at all times.
- D.
  
  Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.
5.

A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?
- A.
  
  "The pain will go away in a few days."
- B.
  
  "The pain is due to peripheral nervous system interruptions. I will get you some pain medication."
- C.
  
  "The pain is psychological because your foot is no longer there."
- D.
  
  "The pain and itching are due to the infection you had before the surgery."
6.

A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:
- A.
  
  Head of the pancreas
- B.
  
  Proximal third section of the small intestines
- C.
  
  Stomach and duodenum
- D.
  
  Esophagus and jejunum
7.

The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:
- A.
  
  Fruits
- B.
  
  Salt
- C.
  
  Pepper
- D.
  
  Ketchup
8.

A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:
- A.
  
  Have a Protime done monthly
- B.
  
  Eat more fruits and vegetables
- C.
  
  Drink more liquids
- D.
  
  Avoid crowds
9.

The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:
- A.
  
  Perform the Valsalva maneuver as the catheter is advanced
- B.
  
  Turn his head to the left side and hyperextend the neck
- C.
  
  Take slow, deep breaths as the catheter is removed
- D.
  
  Turn his head to the right while maintaining a sniffing position
10.

A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:
- A.
  
  Allergies to pineapples and bananas
- B.
  
  A history of streptococcal infections
- C.
  
  Prior therapy with phenytoin
- D.
  
  A history of alcohol abuse
11.

The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:
- A.
  
  Using oil- or cream-based soaps
- B.
  
  Flossing between the teeth
- C.
  
  The intake of salt
- D.
  
  Using an electric razor
12.

The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:
- A.
  
  Apply the new tie before removing the old one.
- B.
  
  Have a helper present.
- C.
  
  Hold the tracheotomy with the nondominant hand while removing the old tie.
- D.
  
  Ask the doctor to suture the tracheostomy in place.
13.

The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:
- A.
  
  Turning the client to the left side
- B.
  
  Milking the tube to ensure patency
- C.
  
  Slowing the intravenous infusion
- D.
  
  Notifying the physician
14.

The infant is admitted to the unit with tetrology of falot. The nurse would anticipate an order for which medication?
- A.
  
  Digoxin
- B.
  
  Epinephrine
- C.
  
  Aminophyline
- D.
  
  Atropine
15.

The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, the X mark is the Tail of Spence.
- A.
  
  True
- B.
  
  False
16.

The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:
- A.
  
  Tire easily
- B.
  
  Grow normally
- C.
  
  Need more calories
- D.
  
  Be more susceptible to viral infections
17.

The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:
- A.
  
  Determine lung maturity
- B.
  
  Measure the fetal activity
- C.
  
  Show the effect of contractions on fetal heart rate
- D.
  
  Measure the well-being of the fetus
18.

The nurse is evaluating the client who was admitted 8 hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?
- A.
  
  Instruct the client to push
- B.
  
  Perform a vaginal exam
- C.
  
  Turn off the Pitocin infusion
- D.
  
  Place the client in a semi-Fowler’s position
19.

The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:
- A.
  
  Atrial flutter
- B.
  
  A sinus rhythm
- C.
  
  Ventricular tachycardia
- D.
  
  Atrial fibrillation
20.

A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:
- A.
  
  Be injected into the deltoid muscle
- B.
  
  Be injected into the abdomen
- C.
  
  Aspirate after the injection
- D.
  
  Clear the air from the syringe before injections
21.

The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:
- A.
  
  Administer the medications together in one syringe
- B.
  
  Administer the medication separately
- C.
  
  Administer the Valium, wait 5 minutes, and then inject the Phenergan
- D.
  
  Question the order because they cannot be given at the same time
22.

A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:
- A.
  
  Douche after intercourse
- B.
  
  Void every 3 hours
- C.
  
  Obtain a urinalysis monthly
- D.
  
  Wipe from back to front after voiding
23.

Which task should be assigned to the nursing assistant?
- A.
  
  Placing the client in seclusion
- B.
  
  Emptying the Foley catheter of the preeclamptic client
- C.
  
  Feeding the client with dementia
- D.
  
  Ambulating the client with a fractured hip
24.

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?
- A.
  
  A tracheotomy set
- B.
  
  A padded tongue blade
- C.
  
  An endotracheal tube
- D.
  
  An airway
25.

He physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:
- A.
  
  Cats
- B.
  
  Dogs
- C.
  
  Turtles
- D.
  
  Birds