NCLEX-rn Exam Free Review By NCLEX Masters
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- 1.The nurse would anticipate that an eight month-old would be able to do one or more of the following:
- A.
Say two words
- B.
Pull up to stand
- C.
Sit without support
- D.
Use a spoon
- 2.A client states, "People think I'm no good, you know what I mean?" Which nursing response would be most therapeutic for this client?
- A.
"People often take their own feelings of inadequacy out on others."
- B.
"Let's identify a few people who like you."
- C.
"I'm not sure what you mean. Tell me a bit more about that."
- D.
Lets' explore what you may have done to create this impression on people
- 3.A client states, "People think I'm no good, you know what I mean?" Which nursing response would be most therapeutic for this client?
- A.
"People often take their own feelings of inadequacy out on others."
- B.
"Let's identify a few people who like you."
- C.
"I'm not sure what you mean. Tell me a bit more about that."
- D.
Lets' explore what you may have done to create this impression on people
- 4.A client calls the evening health clinic to state "I know I have a severely low sugar since the Lantus insulin was given three hours ago and it peaks in two hours." What should be the nurse's initial response to the client?
- A.
What else do you know about this type of insulin?.
- B.
What are you feeling at this moment?
- C.
Have you eaten anything today?
- D.
Are you taking any other insulin or medication?
- 5.A client calls the evening health clinic to state "I know I have a severely low sugar since the Lantus insulin was given three hours ago and it peaks in two hours." What should be the nurse's initial response to the client?
- A.
What else do you know about this type of insulin?.
- B.
What are you feeling at this moment?
- C.
Have you eaten anything today?
- D.
Are you taking any other insulin or medication?
- 6.A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove her dentures prior to leaving the unit for the operating room. The most appropriate intervention by the nurse is:
- A.
Explain to the client that the dentures must come out as they may get lost or broken in the operating room
- B.
Ask the client if there are second thoughts about the procedure
- C.
Ask the client if it would be preferred to remove the dentures in the waiting room and give them to a familiy member
- D.
Ask the client if it would be preferred to remove the dentures in the operating room receiving area
- 7.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:
- A.
Request for the mother to remain with the child at all times
- B.
Request for the mother to remain with the child at all times
- C.
Help the mother understand that this is a normal response to hospitalization
- D.
Suggest that the mother "sneak out" of the child's room when the child is asleep
- 8.Which of these actions best describes the application of time management strategies for the role of the PN charge nurse?
- A.
Schedule staff efficiently to cover client needs
- B.
Take a fair share of the assigned clients as a role model
- C.
Set daily goals to prioritize the workload of self and others
- D.
Delegate tasks to reduce workload within the team
- 9.Which of these actions best describes the application of time management strategies for the role of the PN charge nurse?
- A.
Schedule staff efficiently to cover client needs
- B.
Take a fair share of the assigned clients as a role model
- C.
Set daily goals to prioritize the workload of self and others
- D.
Delegate tasks to reduce workload within the team
- 10.A client with paranoid delusions stares at the nurse over a period of several days. The client suddenly walks up to the nurse and shouts "You think you're so perfect and pure and good." The appropriate response for the nurse is:
- A.
"That explains why you've been starring at me."
- B.
"You seem to be in a bad mood."
- C.
"Perfect? I don't quite understand."
- D.
"You are angry right now."
- 11.A client with paranoid delusions stares at the nurse over a period of several days. The client suddenly walks up to the nurse and shouts "You think you're so perfect and pure and good." The appropriate response for the nurse is:
- A.
"That explains why you've been starring at me."
- B.
"You seem to be in a bad mood."
- C.
"Perfect? I don't quite understand."
- D.
"You are angry right now."
- 12.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?
- A.
Hold the tube feeding and notify the provider
- B.
Administer the tube feeding as scheduled
- C.
Irrigate the tube with cola diet soda.
- D.
Apply intermittent suction to the feeding tube
- 13.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?
- A.
Solid foods are introduced one at a time beginning with cereal
- B.
Finely ground meat should be started early to provide iron
- C.
Egg white is added early to increase protein intake
- D.
Solid foods should be mixed with formula in a bottle
- 14.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?
- A.
Solid foods are introduced one at a time beginning with cereal
- B.
Finely ground meat should be started early to provide iron
- C.
Egg white is added early to increase protein intake
- D.
Solid foods should be mixed with formula in a bottle
- 15.A female client is admitted for a breast biopsy. She says, tearfully to the nurse, "If this turns out to be cancer and I have to have my breast removed, my companion will never come near me." The nurse's best response would be "Are you:
- A.
Questioning the depth of your relationship?"
- B.
Concerned that you will be rejected?"
- C.
wondering about the effect on your sexual relations?"
- D.
Worried that the surgery will change you?"
- 16.A female client is admitted for a breast biopsy. She says, tearfully to the nurse, "If this turns out to be cancer and I have to have my breast removed, my companion will never come near me." The nurse's best response would be "Are you:
- A.
Questioning the depth of your relationship?"
- B.
Concerned that you will be rejected?"
- C.
wondering about the effect on your sexual relations?"
- D.
Worried that the surgery will change you?"
- 17.A client was just taken off the ventilator following surgery and has a nasogastric tube draining bile colored liquids. Which nursing measure will provide the most comfort to the client?
- A.
Allow the client to melt ice chips in the mouth
- B.
Provide mints to freshen the breath
- C.
Perform frequent oral care with a toothsponge
- D.
Swab the mouth with glycerin swabs
- 18.A client was just taken off the ventilator following surgery and has a nasogastric tube draining bile colored liquids. Which nursing measure will provide the most comfort to the client?
- A.
Allow the client to melt ice chips in the mouth
- B.
Provide mints to freshen the breath
- C.
Perform frequent oral care with a toothsponge
- D.
Swab the mouth with glycerin swabs
- 19.The parents of a four year-old hospitalized child tell the nurse they will leave for a time and return at 6 PM. When the child asks when the parents will come again, the nurse can best respond by saying:
- A.
"They will be back right after supper."
- B.
"In about two hours, you will see them."
- C.
"After you play awhile, they will be here."
- D.
D) "When the clock hands are on six and twelve."
- 20.The parents of a four year-old hospitalized child tell the nurse they will leave for a time and return at 6 PM. When the child asks when the parents will come again, the nurse can best respond by saying:
- A.
"They will be back right after supper."
- B.
"In about two hours, you will see them."
- C.
"After you play awhile, they will be here."
- D.
D) "When the clock hands are on six and twelve."
- 21.The nurse is reinforcing teaching to a 24 year-old woman receiving acyclovir (Zovirax) for a Herpes Simplex Virus type 2 infection. The nurse should be sure to include which information?
- A.
Complete the entire course of the medication for an effective cure
- B.
Begin treatment with acyclovir at the onset of findings of recurrence
- C.
Stop treatment if she thinks she may be pregnant to prevent birth defects
- D.
Continue to take prophylactic doses for at least five years after the diagnosis
- 22.The nurse is reinforcing teaching to a 24 year-old woman receiving acyclovir (Zovirax) for a Herpes Simplex Virus type 2 infection. The nurse should be sure to include which information?
- A.
Complete the entire course of the medication for an effective cure
- B.
Begin treatment with acyclovir at the onset of findings of recurrence
- C.
Stop treatment if she thinks she may be pregnant to prevent birth defects
- D.
Continue to take prophylactic doses for at least five years after the diagnosis
- 23.A client is admitted to the emergency room following an acute asthma attack. Which of the following findings would be most important to report?
- A.
Diffuse, inspiratory wheezing
- B.
Loose, productive cough
- C.
Lengthened expiratory phase
- D.
Expiratory wheezing
- 24.A client is admitted to the emergency room following an acute asthma attack. Which of the following findings would be most important to report?
- A.
Diffuse, inspiratory wheezing
- B.
Loose, productive cough
- C.
Lengthened expiratory phase
- D.
Expiratory wheezing
- 25.In the last 48 hours of life, a hospice client may complain of dry mouth from a poor fluid intake. The nurse should only offer to moisten the mouth because:
- A.
The client can aspirate on thin liquids
- B.
Increased hydration can prolong discomfort
- C.
renal function cannot handle the extra fluids
- D.
The venous system cannot accommodate fluids.
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