NCLEX Practice Exam 4 (10 Questions)
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.While assessing a 1-month-old infant. which finding should the nurse report immediately?
- A.
Abdominal respirations
- B.
Irregular breathing rate
- C.
Inspiratory grunt
- D.
Increased heart rate with crying
- 2.The nurse practicing in a maternity setting recognizes that the post mature fetus is at risk due to
- A.
Excessive fetal weight
- B.
Low blood sugar levels
- C.
Depletion of subcutaneous fat
- D.
Progressive placental insufficiency
- 3.The nurse is caring for a client who had a total hip replacement four (4) days ago. Which assessment requires the nurse’s immediate attention?
- A.
I have bad muscle spasms in my lower leg of the affected extremity.
- B.
“I just can’t ‘catch my breath’ over the past few minutes and I think I am in grave danger.”
- C.
“I have to use the bedpan to pass my water at least every 1 to 2 hours.”
- D.
“It seems that the pain medication is not working as well today.”
- 4.A client has been taking furosemide (Lasix) for the past week. The nurse recognizes which finding may indicate the client is experiencing a negative side effect from the medication?
- A.
Weight gain of 5 pounds
- B.
Edema of the ankles
- C.
Gastric irritability
- D.
Decreased appetite
- 5.A client who is pregnant comes to the clinic for a first visit. The nurse gathers data about her obstetric history. which includes 3-year-old twins at home and a miscarriage 10 years ago at 12 weeks gestation. How would the nurse accurately document this information?
- A.
Gravida 4 para 2
- B.
Gravida 2 para 1
- C.
Gravida 3 para 1
- D.
Gravida 3 para 2
- 6.The nurse is caring for a client with a venous stasis ulcer. Which nursing intervention would be most effective in promoting healing?
- A.
Apply dressing using sterile technique
- B.
Improve the client’s nutrition status
- C.
Initiate limb compression therapy
- D.
Begin proteolytic debridement
- 7.A nurse is to administer meperidine hydrochloride (Demerol) 100 mg. atropine sulfate (Atropisol) 0.4 mg. and promethazine hydrochloride (Phenergan) 50 mg IM to a pre-operative client. Which action should the nurse take first?
- A.
Raise the side rails on the bed
- B.
Place the call bell within reach
- C.
Instruct the client to remain in bed
- D.
Have the client empty bladder
- 8.Which of these statements best describes the characteristic of an effective reward-feedback system?
- A.
Specific feedback is given as close to the event as possible
- B.
Staff is given feedback in equal amounts over time
- C.
Positive statements are to precede a negative statement
- D.
Performance goals should be higher than what is attainable
- 9.A client with multiple sclerosis plans to begin an exercise program. In addition to discussing the benefits of regular exercise. the nurse should caution the client to avoid activities which
- A.
Increase the heart rate
- B.
Lead to dehydration
- C.
Are considered aerobic
- D.
May be competitive
- 10.During the evaluation of the quality of home care for a client with Alzheimer’s disease. the priority for the nurse is to reinforce which statement by a family member?
- A.
At least two (2) full meals a day is eaten.
- B.
We go to a group discussion every week at our community center.
- C.
We have safety bars installed in the bathroom and have 24-hour alarms on the doors.
- D.
The medication is not a problem to have it taken three (3) times a day.
Questions: 25 | Attempts: 19331 | Last updated: Apr 5, 2016
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Sample QuestionA triage nurse has these four (4) clients arrive in the emergency department within 15 minutes. Which client should the triage nurse send back to be seen first?
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