NCLEX Practice Exam 33 (10 Questions)

10 Questions | By Santepro | Last updated: Mar 21, 2022 | Total Attempts: 2869

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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.

Questions and Answers

1.

The nurse working the organ transplant unit is caring for a client with a white blood cell count of During evening visitation. a visitor brings a basket of fruit. What action should the nurse take?
- A.
  
  Allow the client to keep the fruit
- B.
  
  Place the fruit next to the bed for easy access by the client
- C.
  
  Offer to wash the fruit for the client
- D.
  
  Tell the family members to take the fruit home
2.

The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale. with a BP of 90/40 systolic. The initial nurse’s action should be to:
- A.
  
  Place the client in Trendelenburg position
- B.
  
  Increase the infusion of Dextrose in normal saline
- C.
  
  Administer atropine intravenously
- D.
  
  Move the emergency cart to the bedside
3.

The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?
- A.
  
  Order a chest x-ray
- B.
  
  Reinsert the tube
- C.
  
  Cover the insertion site with a Vaseline gauze
- D.
  
  Call the doctor
4.

A client being treated with sodium warfarin has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?
- A.
  
  Assess for signs of abnormal bleeding
- B.
  
  Anticipate an increase in the Coumadin dosage
- C.
  
  Instruct the client regarding the drug therapy
- D.
  
  Increase the frequency of neurological assessments
5.

Which selection would provide the most calcium for the client who is 4 months pregnant?
- A.
  
  A granola bar
- B.
  
  A bran muffin
- C.
  
  A cup of yogurt
- D.
  
  A glass of fruit juice
6.

The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates understanding of the possible side effects of magnesium sulfate?
- A.
  
  The nurse places a sign over the bed not to check blood pressure in the right arm.
- B.
  
  The nurse places a padded tongue blade at the bedside.
- C.
  
  The nurse inserts a Foley catheter.
- D.
  
  The nurse darkens the room.
7.

A 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. The physician has written an order to transfuse 2 units of whole blood. When discussing the treatment. the child’s mother tells the nurse that she does not believe in having blood transfusions and that she will not allow her child to have the treatment. What nursing action is most appropriate?
- A.
  
  Ask the mother to leave while the blood transfusion is in progress
- B.
  
  Encourage the mother to reconsider
- C.
  
  Explain the consequences without treatment
- D.
  
  Notify the physician of the mother’s refusal
8.

A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?
- A.
  
  Hypovolemia
- B.
  
  Laryngeal edema
- C.
  
  Hypernatremia
- D.
  
  Hyperkalemia
9.

The nurse is evaluating nutritional outcomes for a with anorexia nervosa. Which data best indicates that the plan of care is effective?
- A.
  
  The client selects a balanced diet from the menu.
- B.
  
  The client’s hemoglobin and hematocrit improve.
- C.
  
  The client’s tissue turgor improves.
- D.
  
  The client gains weight.
10.

The client is admitted following repair of a fractured tibia and cast application. Which nursing assessment should be reported to the doctor?
- A.
  
  Pain beneath the cast
- B.
  
  Warm toes
- C.
  
  Pedal pulses weak and rapid
- D.
  
  Paresthesia of the toes