NCLEX-RN Exam Free Review By NCLEX Masters

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Rneducator
R
Rneducator
Community Contributor
Quizzes Created: 2 | Total Attempts: 2,298
| Attempts: 818
SettingsSettings
Please wait...
  • 1/252 Questions

    A nurse who works at an extended care facility has just reviewed a new medication order which is not legible. Which statement best reflects assertive communication to the health care provider who wrote the order?

    • "I cannot give this medication as you have written it."
    • "Would you please clarify what you have written so I am sure I am reading it correctly?"
    • "I am having difficulty reading your handwriting. It would save me time if you would be more careful."
    • "Please print in the future so I do not have to spend extra time trying to read your writing."
Please wait...
About This Quiz

This NCLEX-RN Exam Review by Nclex Masters tests essential nursing skills and knowledge, covering topics like client communication, insulin management, and surgical preparations.

NCLEX-RN Exam Free Review By NCLEX Masters - Quiz

Quiz Preview

  • 2. 

    Which of these actions is the first priority in the prevention of infections, whether in the hospital or home setting?

    • Handwashing

    • Use of antibacterial soaps

    • Sneeze into the elbow with a bent arm

    • Wash the hands before eating

    Correct Answer
    A. Handwashing
    Explanation
    The correct answer is A: Handwashing. Handwashing remains the most effective way to avoid spreading infection. However, too often nurses do not practice good handwashing techniques and do not teach families to do so. Nurses need to wash their hands before and after touching the client. Note that all of the options are correct actions to prevent infection. However the most effective nurse action to prvent further infection is handwashing.

    Rate this question:

  • 3. 

    A 14 years child goes into seizures. Which nursing action is a priority for a client during a seizure

    • Protect the client from injury

    • Observe the movements

    • Loosen restrictive clothing

    • Suction the mouth

    Correct Answer
    A. Protect the client from injury
    Explanation
    The correct answer is A: Protect the client from injury.

    The priority during a seizure is to protect the client. Then, it is a priority to note, and then record, what movements are seen during a seizure. The diagnosis and subsequent treatment often rests on the seizure description. Suctioning may be done after seizure activity, as well as loosening clothing.

    Rate this question:

  • 4. 

    Which of these actions is the first priority in the prevention of infections, whether in the hospital or home setting?

    • Handwashing

    • Use of antibacterial soaps

    • Sneeze into the elbow with a bent arm

    • Wash the hands before eating

    Correct Answer
    A. Handwashing
    Explanation
    The correct answer is A: Handwashing. Handwashing remains the most effective way to avoid spreading infection. However, too often nurses do not practice good handwashing techniques and do not teach families to do so. Nurses need to wash their hands before and after touching the client. Note that all of the options are correct actions to prevent infection. However the most effective nurse action to prvent further infection is handwashing.

    Rate this question:

  • 5. 

    A 14 years child goes into seizures. Which nursing action is a priority for a client during a seizure

    • Protect the client from injury

    • Observe the movements

    • Loosen restrictive clothing

    • Suction the mouth

    Correct Answer
    A. Protect the client from injury
    Explanation
    The correct answer is A: Protect the client from injury.

    The priority during a seizure is to protect the client. Then, it is a priority to note, and then record, what movements are seen during a seizure. The diagnosis and subsequent treatment often rests on the seizure description. Suctioning may be done after seizure activity, as well as loosening clothing.

    Rate this question:

  • 6. 

    The nurse is reviewing a handout on infant feeding to be distributed to families visiting the clinic. Which information should be included in the teaching materials? 　

    • Solid foods are introduced one at a time beginning with cereal

    • Finely ground meat should be started early to provide iron

    • Egg white is added early to increase protein intake

    • Solid foods should be mixed with formula in a bottle

    Correct Answer
    A. Solid foods are introduced one at a time beginning with cereal
    Explanation
    The correct answer is A: Solid foods are introduced one at a time beginning with cereal. Between four and six months, solid foods should be added one at a time to detect allergies or intolerance. If the infant is able to tolerate the food, another may be added in a week. Iron fortified cereal is the recommended first food.

    Rate this question:

  • 7. 

    The nurse is assisting with a pre-kindergarten physical on a five year-old. The last MMR vaccine will be administered. Allergy to which item might be a contraindication to giving the vaccine?

    • Chocolate

    • Peanut butter

    • Eggs

    • Strawberries

    Correct Answer
    A. Eggs
    Explanation
    The correct answer is C: Eggs. The MMR antigens are derived from embryonic chicken eggs. Individuals with anaphylactic reactions to eggs, neomycin, or gelatin should not receive this vaccine.


    Refer to www.nclex-masters.net/RNs_info for additional signals/symptoms information

    Rate this question:

  • 8. 

    The nurse is gathering data from a client who states her last menstrual period was March 16, and she has missed one period. She reports episodes of nausea and vomiting. After confirming pregnancy, the nurse calculates the estimated date of delivery (EDD) to be about:

    • April 8

    • January 15

    • February 11

    • December 23

    Correct Answer
    A. December 23
    Explanation
    The correct answer is D: December 23. Naegele's rule: add seven days and subtract three months from the first day of the last regular menstrual period to calculate the estimated date of delivery.

    Rate this question:

  • 9. 

    The nurse is gathering data from a client who states her last menstrual period was March 16, and she has missed one period. She reports episodes of nausea and vomiting. After confirming pregnancy, the nurse calculates the estimated date of delivery (EDD) to be about:

    • April 8

    • January 15

    • February 11

    • December 23

    Correct Answer
    A. December 23
    Explanation
    The correct answer is D: December 23. Naegele's rule: add seven days and subtract three months from the first day of the last regular menstrual period to calculate the estimated date of delivery.

    Rate this question:

  • 10. 

    A client states, "People think I'm no good, you know what I mean?" Which nursing response would be most therapeutic for this client?

    • "People often take their own feelings of inadequacy out on others."

    • "Let's identify a few people who like you."

    • "I'm not sure what you mean. Tell me a bit more about that."

    • Lets' explore what you may have done to create this impression on people

    Correct Answer
    A. "I'm not sure what you mean. Tell me a bit more about that."
    Explanation
    The correct answer is C: "I'm not sure what you mean. Tell me a bit more about that.". Therapeutic communication technique that elicits more information is delivered in an open non-judgmental fashion.

    Rate this question:

  • 11. 

    The nurse is reviewing a handout on infant feeding to be distributed to families visiting the clinic. Which information should be included in the teaching materials? 　

    • Solid foods are introduced one at a time beginning with cereal

    • Finely ground meat should be started early to provide iron

    • Egg white is added early to increase protein intake

    • Solid foods should be mixed with formula in a bottle

    Correct Answer
    A. Solid foods are introduced one at a time beginning with cereal
    Explanation
    The correct answer is A: Solid foods are introduced one at a time beginning with cereal. Between four and six months, solid foods should be added one at a time to detect allergies or intolerance. If the infant is able to tolerate the food, another may be added in a week. Iron fortified cereal is the recommended first food.

    Rate this question:

  • 12. 

    In taking the history of a pregnant woman, which factor would the nurse recognize as the primary contraindication for breast feeding?

    • Age 40 years-old

    • Lactose intolerance

    • Family history of breast cancer

    • Uses cocaine on weekends

    Correct Answer
    A. Uses cocaine on weekends
    Explanation
    The correct answer is D: Uses cocaine on weekends.

    Binge use of cocaine can be just as harmful to the breast fed newborn as regular daily use of cocaine.

    Test-taking Tips:

    The key words in this question are "primary factor which should be a contraindication for breast-feeding." As you read each option, ask yourself: Which of these would lead to the worst outcome for the infant receiving the feeding? This leads you to option 4.

    Rate this question:

  • 13. 

    The nurse is observing a client with an obsessive-compulsive disorder in an inpatient setting. Which behavior is consistent with this diagnosis?

    • Repeatedly checking that the door is locked

    • Verbalized suspicions about thefts

    • Preference for consistent care givers

    • Repetitive, involuntary movements

    Correct Answer
    A. Repeatedly checking that the door is locked
    Explanation
    The correct answer is A: Repeatedly checking that the door is locked. Behaviors that are repeated are symptomatic of obsessive-compulsive disorders. These behaviors often interfere with normal function and employment and are based in anxiety.

    Rate this question:

  • 14. 

    A nurse who works at an extended care facility has just reviewed a new medication order which is not legible. Which statement best reflects assertive communication to the health care provider who wrote the order?

    • "I cannot give this medication as you have written it."

    • "Would you please clarify what you have written so I am sure I am reading it correctly?"

    • "I am having difficulty reading your handwriting. It would save me time if you would be more careful."

    • "Please print in the future so I do not have to spend extra time trying to read your writing."

    Correct Answer
    A. "Would you please clarify what you have written so I am sure I am reading it correctly?"
    Explanation
    The correct answer is B: "Would you please clarify what you have written so I am sure I am reading it correctly?".

    Assertive communication respects the rights and responsibilities of both parties. This statement is an honest expression of concern for safe practice and a request for clarification without self-depreciation. It reflects the right of the professional to give and receive information. Test-taking Tips: As you carefully read each answer option, compare them for the subjectivity or objectivity of the content. Ask yourself: Does the comment contain emotion, negative correction or belittling? If yes, then it is not an objective comment which would state the situation and the need.

    Rate this question:

  • 15. 

    Privacy and confidentiality of client information is legally protected. In which of these situations would the nurse make an exception to this practice?

    • A family member offers information about their loved one

    • The client threatens self-harm and/or harm to others

    • The nurse decides that the family has a right to know the client's diagnosis

    • A visitor insists that the client has given permission to write the client's story

    Correct Answer
    A. The client threatens self-harm and/or harm to others
    Explanation
    The correct answer is B: The client threatens self-harm and/or harm to others. Privacy and confidentiality of all client information is protected with the exception of the client who threatens self harm or endangering the staff or the public.

    Rate this question:

  • 16. 

    Privacy and confidentiality of client information is legally protected. In which of these situations would the nurse make an exception to this practice?

    • A family member offers information about their loved one

    • The client threatens self-harm and/or harm to others

    • The nurse decides that the family has a right to know the client's diagnosis

    • A visitor insists that the client has given permission to write the client's story

    Correct Answer
    A. The client threatens self-harm and/or harm to others
    Explanation
    The correct answer is B: The client threatens self-harm and/or harm to others. Privacy and confidentiality of all client information is protected with the exception of the client who threatens self harm or endangering the staff or the public.

    Rate this question:

  • 17. 

    A three year-old child is treated in the emergency room after ingestion of an ounce from a liquid narcotic bottle. What action should the nurse take first?

    • Provide humidified oxygen via mask

    • Suction mouth and nose if needed

    • Check the airway and breathing effort

    • Obtain a radial and apical pulse

    Correct Answer
    A. Check the airway and breathing effort
    Explanation
    The correct answer is C: Check the airway and breathing effort.Like any other intervention the first intervention is to assess breathing by checking airway. The first step in treatment of a toxic exposure or ingestion is to assess the airway and breathing. Circulation is secondary since the critical adverse effect of this drug class is respiratory depression. The other nursing actions would follow - options 4, then 2 then 1. .

    Test-taking Tips:

    The key words in this question are "nurse's first action" and a "three-year-old who ingested one ounce of a narcotic." Notice that options 1, 2, and 4 are interventions and option 3 is data collection. Remember, "first action" is "data collection." In addition, associate "narcotics with "depressed respirations." This line of thinking will lead you to option 3.

    Rate this question:

  • 18. 

    Mr. Reynolds, 69 years of age, is found unconscious by his wife at 7:00 a.m. An ambulance is summoned by the physician, and Mr. Reynolds is admitted to the medical unit, where you work as a practical nurse, with a diagnosis of cerebral vascular accident (CVA). As you assist the team leader with the admission process, you note a previous history of hypertension. His wife has also revealed that Mr. Reynolds complained of a headache before retiring the night before. The team leader instructs you to remove Mr. Reynolds's dentures. You do so because

    • The team leader will report you if you do not follow directions.

    • The dentures need to be cleaned.

    • The dentures might obstruct the respiratory passages.

    • Mr. Reynolds usually removes them for sleep anyway.

    Correct Answer
    A. The dentures might obstruct the respiratory passages.
    Explanation
    The correct answer is C. The patient's airway must be maintained. Therefore it is essential to remove anything, such as dentures, that may obstruct the airway.

    Nursing process: planning.

    Client need: safe, effective care environment.

    Rate this question:

  • 19. 

    Ms. W. has a draining pressure ulcer on her sacrum and is to be discharged to her daughter's care. The nurse has taught Ms. W.'s daughter to perform dressing changes. Which observation by the nurse indicates the daughter's technique is done correctly? The daughter

    • Places the forceps used to remove the old dressing on the sterile field

    • Irrigates the wound from the bottom up.

    • Uses only sterile gloves to remove the old dressing.

    • Washes her hands before each gloving and after the procedure is done.

    Correct Answer
    A. Washes her hands before each gloving and after the procedure is done.
    Explanation
    The correct answer is D. Handwashing should occur before donning the nonsterile gloves, when changing from nonsterile to sterile gloves, and after the procedure. This prevents the spread of microorganisms.

    Rate this question:

  • 20. 

    The mother of a two year-old hospitalized child asks the nurse's advice about the child's screaming every time the mother gets ready to leave the hospital room. The best response of the nurse would be to: 　 　

    • Request for the mother to remain with the child at all times

    • Request for the mother to remain with the child at all times

    • Help the mother understand that this is a normal response to hospitalization

    • Suggest that the mother "sneak out" of the child's room when the child is asleep

    Correct Answer
    A. Help the mother understand that this is a normal response to hospitalization
    Explanation
    The best answer is C; helping the mother understand the child behavior is normal ressures her and help her deal with the child crying.

    Rate this question:

  • 21. 

    A nurse has been named in a lawsuit. The best evidence a nurse can use for self- protection in a court of law is which of these items?

    • Clinical certification in a nursing specialty

    • Documentation of nursing own actions on the client's record

    • Proficiency reports about the nurse prepared by the nurse manager

    • Verification of orders for the plan of care on a daily basis

    Correct Answer
    A. Documentation of nursing own actions on the client's record
    Explanation
    The correct answer is B: Documentation of nursing actions on the client's record. Documentation is key for a nurse to be protected legally. Documentation should include all pertinent data with times, dosages and sites of actions, collected data, the nurse''s response to any change in a client's condition, specific actions taken, if and when other health care team members were notified and what the responses were.

    Rate this question:

  • 22. 

    A client is admitted with a diagnosis of schizophrenia. The client states "I don't need medication. It makes me sleepy." The client insists that the nurse explain the use and side effects of the medication. The nurse should understand that the best intervention is:

    • The nurse should refer the client to the psychiatrist for answers about medication

    • The client has a right to know about any prescribed or over-the-counter medications

    • It is the nurse's decision to reinforce or not reinforce information about medications

    • It is dangerous for clients with schizophrenia to know about medications

    Correct Answer
    A. The client has a right to know about any prescribed or over-the-counter medications
    Explanation
    The correct answer is B: The client has a right to know about any prescribed or over-the-counter medications. Clients have a right to refuse treatment and to informed consent, including medication use and side effects.

    Rate this question:

  • 23. 

    A school nurse plans to reinforce information about the most effective methods to prevent the spread of head lice in school age children at a teacher's conference . The most appropriate information to give would be that

    • The classroom should be sprayed with an insecticide at the end of each day

    • Handwashing should be done before and after each break by each child

    • The children are not to share hats and scarves

    • The heads of children are to be checked weekly for lice

    Correct Answer
    A. The children are not to share hats and scarves
    Explanation
    The correct answer is C: The children are not to share hats and scarves. Head lice live only on human beings and can be spread easily by sharing hats, combs, scarves, coats and other items of clothing that touch the hair.

    Rate this question:

  • 24. 

    The nurse is assigned to a client with HIV infection. The client also has a secondary herpes simplex 1 (HSV 1) infection. The nurse knows that the most likely cause of the HSV 1 infection is which of these items?

    • Immunosuppression caused by the HIV infection

    • Emotional stress caused by the chronic diseases

    • Reaction to the the prescribed medications

    • Poor oral hygiene often associated with these infections

    Correct Answer
    A. Immunosuppression caused by the HIV infection
    Explanation
    The correct answer is A: Immunosuppression caused by the HIV infection.

    The decreased immunity leads to frequent secondary infections. Herpes simplex virus 1 is an opportunistic infection.

    Test-taking Tips:

    If guessing, narrow your options down to the two that are similar but dissimilar. Here it would be options 1 and 2 in that they both focus on situations "caused by chronic disease." Associate HIV with the word "immunosuppression " in option 1. Think about what the option is saying in relation to the question. If you select option 2 it means that the cause of the herpes virus is emotional stress. This is unlikely since no data are in the stem to suggest stress.

    Rate this question:

  • 25. 

    In taking the history of a pregnant woman, which factor would the nurse recognize as the primary contraindication for breast feeding?

    • Age 40 years-old

    • Lactose intolerance

    • Family history of breast cancer

    • Uses cocaine on weekends

    Correct Answer
    A. Uses cocaine on weekends
    Explanation
    The correct answer is D: Uses cocaine on weekends.

    Binge use of cocaine can be just as harmful to the breast fed newborn as regular daily use of cocaine.

    Test-taking Tips:

    The key words in this question are "primary factor which should be a contraindication for breast-feeding." As you read each option, ask yourself: Which of these would lead to the worst outcome for the infant receiving the feeding? This leads you to option 4.

    Rate this question:

  • 26. 

    A ten year-old child has a history of tonic-clonic seizures. The school nurse should instruct the classroom teacher that if the child experiences a seizure in the classroom, the most important action during the seizure activity would be to

    • Avoid the insertion of anything in the mouth

    • Maintain the child in a supine position

    • Provide privacy to prevent embarrassment

    • Protect the child from self injury

    Correct Answer
    A. Protect the child from self injury
    Explanation
    The correct answer is D: Protect the child from self injury. All of the options are correct since it is asking for the priority action. The child must be protected from injury during a seizure. Place a pillow, folded blanket or your hands under the child's head to prevent harm.

    Rate this question:

  • 27. 

    Which action would be the best strategy for the nurse to use when reinforcing insulin injection techniques to a newly diagnosed adult client with diabetes mellitus?

    • Listen to client verbalize understanding

    • Ask the client questions during practice

    • Allow another client who does insulin injections to assist

    • Observe a return demonstration

    Correct Answer
    A. Observe a return demonstration
    Explanation
    The correct answer is D: Observe a return demonstration. Since this is a psychomotor skill, this is the best way to know if the client has learned the proper technique.

    Rate this question:

  • 28. 

    Mr. C. has just been admitted for acute asthma exacerbation and placed in a high Fowler's position. The nurse knows this position is best because it

    • Is required for the aerosol treatments to work

    • Is the position for the chest X-ray.

    • Facilitates maximal ventilation.

    • Allows for chest physiotherapy.

    Correct Answer
    A. Facilitates maximal ventilation.
    Explanation
    The correct answer is C. A high Fowler's position allows maximal chest expansion and decreases hypoxia.

    Rate this question:

  • 29. 

    A client states, "People think I'm no good, you know what I mean?" Which nursing response would be most therapeutic for this client?

    • "People often take their own feelings of inadequacy out on others."

    • "Let's identify a few people who like you."

    • "I'm not sure what you mean. Tell me a bit more about that."

    • Lets' explore what you may have done to create this impression on people

    Correct Answer
    A. "I'm not sure what you mean. Tell me a bit more about that."
    Explanation
    The correct answer is C: "I'm not sure what you mean. Tell me a bit more about that.". Therapeutic communication technique that elicits more information is delivered in an open non-judgmental fashion.

    Rate this question:

  • 30. 

    The mother of a two year-old hospitalized child asks the nurse's advice about the child's screaming every time the mother gets ready to leave the hospital room. The best response of the nurse would be to: 　 　

    • Request for the mother to remain with the child at all times

    • Request for the mother to remain with the child at all times

    • Help the mother understand that this is a normal response to hospitalization

    • Suggest that the mother "sneak out" of the child's room when the child is asleep

    Correct Answer
    A. Help the mother understand that this is a normal response to hospitalization
    Explanation
    The best answer is C; helping the mother understand the child behavior is normal ressures her and help her deal with the child crying.

    Rate this question:

  • 31. 

    The health care provider order reads "aspirate nasogastric feeding (NG) tube every four hours and check pH of aspirate". The pH of the aspirate is 10. Which action should the nurse take?

    • Hold the tube feeding and notify the provider

    • Administer the tube feeding as scheduled

    • Irrigate the tube with cola diet soda.

    • Apply intermittent suction to the feeding tube

    Correct Answer
    A. Hold the tube feeding and notify the provider
    Explanation
    The correct answer is A: Hold the tube feeding and notify the provider. A pH of less than four indicates that the tube is appropriately placed in the stomach, a highly acidic environment. A higher than 4 or more alkaline pH indicates intestinal placement which is incorrect.

    Rate this question:

  • 32. 

    The nurse is observing a client with an obsessive-compulsive disorder in an inpatient setting. Which behavior is consistent with this diagnosis?

    • Repeatedly checking that the door is locked

    • Verbalized suspicions about thefts

    • Preference for consistent care givers

    • Repetitive, involuntary movements

    Correct Answer
    A. Repeatedly checking that the door is locked
    Explanation
    The correct answer is A: Repeatedly checking that the door is locked. Behaviors that are repeated are symptomatic of obsessive-compulsive disorders. These behaviors often interfere with normal function and employment and are based in anxiety.

    Rate this question:

  • 33. 

    Which statement by the nurse is appropriate when asking an unlicensed assistive personnel (UAP) to assist a 69 year-old surgical client to ambulate for the first time?

    • "Have the client sit on the side of the bed before starting to walk in the room."

    • "If the client is dizzy on standing, ask the client to take some deep breaths."

    • "Assist the client to the bathroom at least twice."

    • "After you assist the client to the chair, let me know if any complaints of abnormal feelings by the client."

    Correct Answer
    A. "Have the client sit on the side of the bed before starting to walk in the room."
    Explanation
    The correct answer is A: "Have the client sit on the side of the bed before starting to walk in the room.". Give clear information to the UAP about what is expected for client safety. The rule of specific delegation of outcomes applies in this case.

    Rate this question:

  • 34. 

    Which of the followwing entries in the progress notes of a client is the most complete?

    • Demerol 75mg administered for severe abdominal pain

    • Client seems anxious about low salt diet preparation at home

    • Dark green drainage of 100 ml from nasogastric tube in the last four hours

    • Client's urinary output adequate for the age group

    Correct Answer
    A. Dark green drainage of 100 ml from nasogastric tube in the last four hours
    Explanation
    The correct answer is C: Dark green drainage of 100 ml from nasogastric tube in the last four hours.

    Entries in clients' records need to be complete, accurate and factual. Records can only be used by third party payers for reimbursement if they are accurate, reliable and valid.

    Test-taking Tips:

    Remember that the "most complete" charting is the "most specific and detailed". Options 1, 2, and 4 are too "general" using the following words: "severe abdominal pain" without the location of the injection or specific site of the pain; "seems anxious" without specific behaviors; and "adequate" without specific numbers. This leaves you with option 3 as the only specific detailed answer. It is the most measurable. Specificity of actions by the patient and nursing intervention as critical part of documentation. Look for specific parameters.

    Rate this question:

  • 35. 

    A client is admitted with a diagnosis of schizophrenia. The client states "I don't need medication. It makes me sleepy." The client insists that the nurse explain the use and side effects of the medication. The nurse should understand that the best intervention is:

    • The nurse should refer the client to the psychiatrist for answers about medication

    • The client has a right to know about any prescribed or over-the-counter medications

    • It is the nurse's decision to reinforce or not reinforce information about medications

    • It is dangerous for clients with schizophrenia to know about medications

    Correct Answer
    A. The client has a right to know about any prescribed or over-the-counter medications
    Explanation
    The correct answer is B: The client has a right to know about any prescribed or over-the-counter medications. Clients have a right to refuse treatment and to informed consent, including medication use and side effects.

    Rate this question:

  • 36. 

    A school nurse plans to reinforce information about the most effective methods to prevent the spread of head lice in school age children at a teacher's conference . The most appropriate information to give would be that

    • The classroom should be sprayed with an insecticide at the end of each day

    • Handwashing should be done before and after each break by each child

    • The children are not to share hats and scarves

    • The heads of children are to be checked weekly for lice

    Correct Answer
    A. The children are not to share hats and scarves
    Explanation
    The correct answer is C: The children are not to share hats and scarves. Head lice live only on human beings and can be spread easily by sharing hats, combs, scarves, coats and other items of clothing that touch the hair.

    Rate this question:

  • 37. 

    A three year-old child is treated in the emergency room after ingestion of an ounce from a liquid narcotic bottle. What action should the nurse take first?

    • Provide humidified oxygen via mask

    • Suction mouth and nose if needed

    • Check the airway and breathing effort

    • Obtain a radial and apical pulse

    Correct Answer
    A. Check the airway and breathing effort
    Explanation
    The correct answer is C: Check the airway and breathing effort.Like any other intervention the first intervention is to assess breathing by checking airway. The first step in treatment of a toxic exposure or ingestion is to assess the airway and breathing. Circulation is secondary since the critical adverse effect of this drug class is respiratory depression. The other nursing actions would follow - options 4, then 2 then 1. .

    Test-taking Tips:

    The key words in this question are "nurse's first action" and a "three-year-old who ingested one ounce of a narcotic." Notice that options 1, 2, and 4 are interventions and option 3 is data collection. Remember, "first action" is "data collection." In addition, associate "narcotics with "depressed respirations." This line of thinking will lead you to option 3.

    Rate this question:

  • 38. 

    A ten year-old child has a history of tonic-clonic seizures. The school nurse should instruct the classroom teacher that if the child experiences a seizure in the classroom, the most important action during the seizure activity would be to

    • Avoid the insertion of anything in the mouth

    • Maintain the child in a supine position

    • Provide privacy to prevent embarrassment

    • Protect the child from self injury

    Correct Answer
    A. Protect the child from self injury
    Explanation
    The correct answer is D: Protect the child from self injury. All of the options are correct since it is asking for the priority action. The child must be protected from injury during a seizure. Place a pillow, folded blanket or your hands under the child's head to prevent harm.

    Rate this question:

  • 39. 

    The nurse is assigned to a client with HIV infection. The client also has a secondary herpes simplex 1 (HSV 1) infection. The nurse knows that the most likely cause of the HSV 1 infection is which of these items?

    • Immunosuppression caused by the HIV infection

    • Emotional stress caused by the chronic diseases

    • Reaction to the the prescribed medications

    • Poor oral hygiene often associated with these infections

    Correct Answer
    A. Immunosuppression caused by the HIV infection
    Explanation
    The correct answer is A: Immunosuppression caused by the HIV infection.

    The decreased immunity leads to frequent secondary infections. Herpes simplex virus 1 is an opportunistic infection.

    Test-taking Tips:

    If guessing, narrow your options down to the two that are similar but dissimilar. Here it would be options 1 and 2 in that they both focus on situations "caused by chronic disease." Associate HIV with the word "immunosuppression " in option 1. Think about what the option is saying in relation to the question. If you select option 2 it means that the cause of the herpes virus is emotional stress. This is unlikely since no data are in the stem to suggest stress.

    Rate this question:

  • 40. 
    Scoliosis a C S curvature of the spine; it cna a temporary or permanent condidtion. At what time would the nurse expect early findings of scoliosis to appear?                                                                                       - ProProfs

    Scoliosis a C S curvature of the spine; it cna a temporary or permanent condidtion. At what time would the nurse expect early findings of scoliosis to appear?                                                                                      

    • In utero

    • Infant

    • Toddler

    • Preadolescent

    Correct Answer
    A. Preadolescent
    Explanation
    The correct answer is D: Preadolescent. Idiopathic scoliosis is seldom apparent before 10 years of age and is most noticeable at the beginning of the preadolescent growth spurt.

    Rate this question:

  • 41. 

    Which action would be the best strategy for the nurse to use when reinforcing insulin injection techniques to a newly diagnosed adult client with diabetes mellitus?

    • Listen to client verbalize understanding

    • Ask the client questions during practice

    • Allow another client who does insulin injections to assist

    • Observe a return demonstration

    Correct Answer
    A. Observe a return demonstration
    Explanation
    The correct answer is D: Observe a return demonstration. Since this is a psychomotor skill, this is the best way to know if the client has learned the proper technique.

    Rate this question:

  • 42. 

    The nurse is caring for a post-operative client who develops an abdominal wound evisceration. The first nursing intervention should be to

    • Medicate the client for pain

    • Alert the family of the need to leave the room

    • Cover the wound with sterile saline dressing

    • Place the bed in a Mid-Fowler's position

    Correct Answer
    A. Cover the wound with sterile saline dressing
    Explanation
    The correct answer is C: Cover the wound with sterile saline dressing. When evisceration occurs, the wound should FIRST be quickly covered with sterile dressings wet with sterile saline by sterile technique. Next would be to minimize tension on the site, option 4. Then pain is treated with the notification of the family last.

    Rate this question:

  • 43. 

    Which statement by the nurse is appropriate when asking an unlicensed assistive personnel (UAP) to assist a 69 year-old surgical client to ambulate for the first time?

    • "Have the client sit on the side of the bed before starting to walk in the room."

    • "If the client is dizzy on standing, ask the client to take some deep breaths."

    • "Assist the client to the bathroom at least twice."

    • "After you assist the client to the chair, let me know if any complaints of abnormal feelings by the client."

    Correct Answer
    A. "Have the client sit on the side of the bed before starting to walk in the room."
    Explanation
    The correct answer is A: "Have the client sit on the side of the bed before starting to walk in the room.". Give clear information to the UAP about what is expected for client safety. The rule of specific delegation of outcomes applies in this case.

    Rate this question:

  • 44. 

    Which of the followwing entries in the progress notes of a client is the most complete?

    • Demerol 75mg administered for severe abdominal pain

    • Client seems anxious about low salt diet preparation at home

    • Dark green drainage of 100 ml from nasogastric tube in the last four hours

    • Client's urinary output adequate for the age group

    Correct Answer
    A. Dark green drainage of 100 ml from nasogastric tube in the last four hours
    Explanation
    The correct answer is C: Dark green drainage of 100 ml from nasogastric tube in the last four hours.

    Entries in clients' records need to be complete, accurate and factual. Records can only be used by third party payers for reimbursement if they are accurate, reliable and valid.

    Test-taking Tips:

    Remember that the "most complete" charting is the "most specific and detailed". Options 1, 2, and 4 are too "general" using the following words: "severe abdominal pain" without the location of the injection or specific site of the pain; "seems anxious" without specific behaviors; and "adequate" without specific numbers. This leaves you with option 3 as the only specific detailed answer. It is the most measurable. Specificity of actions by the patient and nursing intervention as critical part of documentation. Look for specific parameters.

    Rate this question:

  • 45. 

    A 5 years old child has been admitted to the pediatric unit after swallowing a household cleaner. Which of these findings is more commonly associated with the fact that the poison was a corrosive?

    • Burning mouth and throat pain

    • Bradycardia and orthopnea

    • Oliguria and cyanosis

    • Diarrhea and vomiting

    Correct Answer
    A. Burning mouth and throat pain
    Explanation
    The correct answer is A: Burning mouth and throat pain. Local irritation of tissues is most closely associated with a corrosive poisoning.Symptoms from swallowing hydrochloric acid may include:

    Abdominal pain - severe
    Breathing difficulty due to swelling of throat Chest pain - severe Drooling Fever Mouth pain - severe Rapid drop in blood pressure Throat pain - severe Vomiting blood

    Rate this question:

  • 46. 

    A 5 years old child has been admitted to the pediatric unit after swallowing a household cleaner. Which of these findings is more commonly associated with the fact that the poison was a corrosive?

    • Burning mouth and throat pain

    • Bradycardia and orthopnea

    • Oliguria and cyanosis

    • Diarrhea and vomiting

    Correct Answer
    A. Burning mouth and throat pain
    Explanation
    The correct answer is A: Burning mouth and throat pain. Local irritation of tissues is most closely associated with a corrosive poisoning.Symptoms from swallowing hydrochloric acid may include:

    Abdominal pain - severe
    Breathing difficulty due to swelling of throat Chest pain - severe Drooling Fever Mouth pain - severe Rapid drop in blood pressure Throat pain - severe Vomiting blood

    Rate this question:

  • 47. 

    The nurse is responsible for assisting in the decisions about client room assignments. Which of these possible roommates would be most appropriate for a three year-old child with minimal change nephrotic syndrome?

    • Two year-old with respiratory infection

    • Three year-old fracture whose sibling has chickenpox

    • Four year-old with bilateral inguinal hernia repair

    • Six year-old with a sickle cell anemia crisis

    Correct Answer
    A. Four year-old with bilateral inguinal hernia repair
    Explanation
    The correct answer is C: Four year-old with bilateral inguinal hernia repair.

    The nurse must know that children with nephrotic syndrome have a higher risk for the development of infections as a result of the steroid therapy which has an immunosuppressant effect. Therefore, these children must be protected from sources of possible infection.

    Test-taking Tips:

    Notice that options 1 and 2 have "infectious situations" which would eliminate them as "most appropriate" roommates for a child with "nephrotic syndrome." Notice the age of the child in the stem of the question (three-year old). Ask yourself: Would it be better to place this child with a four-year old or a six-year old? If safety is not an issue, then roommates are better matched by age.

    Rate this question:

  • 48. 

    Ms. P. is transferred to a skilled nursing facility from the hospital because she is unable to ambulate due to a left femoral fracture. The nurse knows Ms. P.'s greatest risk factor for developing a pressure ulcer is that she

    • Has slightly limited mobility and needs assistance to move from bed to chair

    • Is 5 ft 4 in tall, 130 lb, and eats more than half of most meals.

    • Is apathetic but oriented to person, place, and time.

    • Has good skin turgor, no edema, and her capillary refill is less than three seconds.

    Correct Answer
    A. Has slightly limited mobility and needs assistance to move from bed to chair
    Explanation
    The correct answer is A. The fact that Ms. P. is chair-bound has the greatest impact on her developing pressure ulcers.

    Rate this question:

  • 49. 
    Scoliosis a C S curvature of the spine; it cna a temporary or permanent condidtion. At what time would the nurse expect early findings of scoliosis to appear?                                                                                       - ProProfs

    Scoliosis a C S curvature of the spine; it cna a temporary or permanent condidtion. At what time would the nurse expect early findings of scoliosis to appear?                                                                                      

    • In utero

    • Infant

    • Toddler

    • Preadolescent

    Correct Answer
    A. Preadolescent
    Explanation
    The correct answer is D: Preadolescent. Idiopathic scoliosis is seldom apparent before 10 years of age and is most noticeable at the beginning of the preadolescent growth spurt.

    Rate this question:

Quiz Review Timeline (Updated): Mar 21, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • May 03, 2009
    Quiz Created by
    Rneducator
Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.