NCLEX Practice Exam 28 (10 Questions)

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 7627

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NCLEX Practice Exam 28 (10 Questions) - Quiz

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.

Which roommate would be most suitable for the 6-year-old male with a fractured femur in Russell’s traction?
- A.
  
  16-year-old female with scoliosis
- B.
  
  12-year-old male with a fractured femur
- C.
  
  10-year-old male with sarcoma
- D.
  
  6-year-old male with osteomyelitis
2.

A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?
- A.
  
  Take the medication with milk.
- B.
  
  Report chest pain.
- C.
  
  Remain upright after taking for 30 minutes.
- D.
  
  Allow 6 weeks for optimal effects.
3.

A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:
- A.
  
  Handles the cast with the fingertips
- B.
  
  Petals the cast
- C.
  
  Dries the cast with a hair dryer
- D.
  
  Allows 24 hours before bearing weight
4.

The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?
- A.
  
  “It will be alright for your friends to autograph the cast.”
- B.
  
  “Because the cast is made of plaster. autographing can weaken the cast.”
- C.
  
  “If they don’t use chalk to autograph. it is okay.”
- D.
  
  “Autographing or writing on the cast in any form will harm the cast.”
5.

The nurse is assigned to care for the client with a Steinmann pin. During pin care. she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?
- A.
  
  Assisting the LPN with opening sterile packages and peroxide
- B.
  
  Telling the LPN that clean gloves are allowed
- C.
  
  Telling the LPN that the registered nurse should perform pin care
- D.
  
  Asking the LPN to clean the weights and pulleys with peroxide
6.

A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?
- A.
  
  Check the bowel sounds
- B.
  
  Assess the blood pressure
- C.
  
  Offer pain medication
- D.
  
  Check for swelling
7.

The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?
- A.
  
  Russell’s traction
- B.
  
  Buck’s traction
- C.
  
  Halo traction
- D.
  
  Crutchfield tong traction
8.

A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?
- A.
  
  “Use of the CPM will permit the client to ambulate during the therapy.”
- B.
  
  “The CPM machine controls should be positioned distal to the site.”
- C.
  
  “If the client complains of pain during the therapy. I will turn off the machine and call the doctor.”
- D.
  
  “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”
9.

A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:
- A.
  
  Palms rest lightly on the handles
- B.
  
  Elbows are flexed 0°
- C.
  
  Client walks to the front of the walker
- D.
  
  Client carries the walker
10.

When assessing a laboring client. the nurse finds a prolapsed cord. The nurse should:
- A.
  
  Attempt to replace the cord
- B.
  
  Place the client on her left side
- C.
  
  Elevate the client’s hips
- D.
  
  Cover the cord with a dry. sterile gauze