(NCLEX Free Trial)

10 Questions

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(NCLEX Free Trial)

Questions and Answers
  • 1. 
    A nurse is caring for a client in recovery area after undergoing a coronary arteriogram. Which of the following assessments most concerns the nurse?
    • A. 

      Pedal pulses +1

    • B. 

      Blood pressure 152/78

    • C. 

      Heart rate 118

    • D. 

      Complain of pain at catheter site

  • 2. 
    A patient has noticed a decrease in peripheral vision, which of the following cranial nerves are most likely involved?
    • A. 

      CN II

    • B. 

      CN X

    • C. 

      CN IX

    • D. 

      CN I

  • 3. 
    A nurse is caring for a patient on the telemetry floor. The Nurse observes the following rhythm on the monitor. Which of the following symptoms would the nurse expect to see? (Select all that apply)
    • A. 

      Anxiety

    • B. 

      Hypertension

    • C. 

      Chest pain

    • D. 

      Hypotension

    • E. 

      SOB

    • F. 

      JVD

    • G. 

      Dizziness

  • 4. 
    A nurse is caring for a patient admitted for seizure disorder. A LVN is working with the RN for the day, which of the following actions can be delegated to the LVN?
    • A. 

      Set up bedside suction and oxygen equipment.

    • B. 

      Complete admission assessment

    • C. 

      Place a padded tongue blade by bedside.

    • D. 

      Give Ativan IVP

  • 5. 
    A nurse is receiving shift report. Which of the following patients should the nurse see first?
    • A. 

      A patient admitted asthma exacerbation complaining of SOB after using bronchodilator inhaler.

    • B. 

      A patient admitted with viral meningitis need to receive IV antibiotics

    • C. 

      A client with COPD has a pulse oximetry reading of 91% and clubbing finger

    • D. 

      A patient with possible C-diff needs a stool specimen sent to laboratory

  • 6. 
    An experienced nursing assistant is reporting to the nurse that when she was checking the client’s blood pressure the patients hand would spasm. Which of the following actions should the nurse take first?
    • A. 

      Assess clients blood pressure

    • B. 

      Check clients morning calcium level

    • C. 

      Perform a neurological assessment

    • D. 

      Notify physician

  • 7. 
    Which one of the following messages should she return first?
    • A. 

      A mother of a 5 month old says that her infant’s toes fan upward and out when she strokes the outer edge of the sole.

    • B. 

      A mother of a 6 month old says that her infant’s toes curl downwards when touching the sole of the infant’s foot.

    • C. 

      A mother of a 2 month old says her infant opens her mouth when nares are occluded.

    • D. 

      A mother of a 4 month old says her infants respiratory rate is 20

  • 8. 
    A nurse is caring for a client with Grave’s disease. Which of the following findings does the nurse expect to find? (Select all that apply)
    • A. 

      Exophthalmos

    • B. 

      Heat intolerance

    • C. 

      Hypersomnia

    • D. 

      Weight loss

    • E. 

      Increased appetite

  • 9. 
    A nurse would be most concerned by which of the following patient room assignments? 
    • A. 

      A patient with tuberculosis is placed in a room with negative air pressure

    • B. 

      A patient diagnosed with methicillin-resistant Staphylococcus aureus placed in a room with a patient being treated for third degree burns on 20% of his body

    • C. 

      A patient with MRSA placed in a private room

    • D. 

      A patient being treated for salmonella is placed in a room with another patient with the same diagnosis

  • 10. 
    A nurse understands that treatment has been effective when a client with pleural effusion with a thoracentesis has: 
    • A. 

      Absence of dyspnea

    • B. 

      Increased respiratory rate

    • C. 

      O2 sat of 95%

    • D. 

      Client is reporting 0/10 chest pain