NCLEX Practice Exam 28 (10 Questions)
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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.
- 1.
- 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.
- 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.
- 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
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