NCLEX Select All That Apply Practice Exam 3 (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 nurse is monitoring a pregnant client with pregnancy induced hypertension who is at risk for Preeclampsia. The nurse checks the client for which specific signs of Preeclampsia (select all that apply)?
- A.
Elevated blood pressure
- B.
Negative urinary protein
- C.
Facial edema
- D.
Increased respirations
- 2.A nurse is caring for a pregnant client with severe preeclampsia who is receiving IV magnesium sulfate. Select all nursing interventions that apply in the care for the client.
- A.
Monitor maternal vital signs every 2 hours
- B.
Notify the physician if respirations are less than 18 per minute
- C.
Monitor renal function and cardiac function closely
- D.
Keep calcium gluconate on hand in case of a magnesium sulfate overdose
- E.
Monitor deep tendon reflexes hourly
- F.
Monitor I and O’s hourly
- G.
Notify the physician if urinary output is less than 30 ml per hour.
- 3.When interpreting an ECG, the nurse would keep in mind which of the following about the P wave? Select all that apply.
- A.
Reflects electrical impulse beginning at the SA node
- B.
Indicated electrical impulse beginning at the AV node
- C.
Reflects atrial muscle depolarization
- D.
Identifies ventricular muscle depolarization
- E.
Has duration of normally 0.11 seconds or less.
- 4.When caring for a client with a central venous line, which of the following nursing actions should be implemented in the plan of care for chemotherapy administration? Select all that apply.
- A.
Verify patency of the line by the presence of a blood return at regular intervals.
- B.
Inspect the insertion site for swelling, erythema, or drainage.
- C.
Administer a cytotoxic agent to keep the regimen on schedule even if blood return is not present.
- D.
If unable to aspirate blood, reposition the client and encourage the client to cough.
- E.
Contact the health care provider about verifying placement if the status is questionable.
- 5.To assist an adult client to sleep better the nurse recommends which of the following? (Select all that apply.)
- A.
Drinking a glass of wine just before retiring to bed
- B.
Eating a large meal 1 hour before bedtime
- C.
Consuming a small glass of warm milk at bedtime
- D.
Performing mild exercises 30 minutes before going to bed
- 6.The nurse recognizes that a client is experiencing insomnia when the client reports (select all that apply):
- A.
Extended time to fall asleep
- B.
Falling asleep at inappropriate times
- C.
Difficulty staying asleep
- D.
Feeling tired after a night’s sleep
- 7.The nurse teaches the mother of a newborn that in order to prevent sudden infant death syndrome (SIDS) the best position to place the baby after nursing is (select all that apply):
- A.
Prone
- B.
Side-lying
- C.
Supine
- D.
Fowler’s
- 8.A client has a diagnosis of primary insomnia. Before assessing this client, the nurse recalls the numerous causes of this disorder. Select all that apply:
- A.
Chronic stress
- B.
Severe anxiety
- C.
Generalized pain
- D.
Excessive caffeine
- E.
Chronic depression
- F.
Environmental noise
- 9.Select all that apply to the use of barbiturates in treating insomnia:
- A.
Barbiturates deprive people of NREM sleep
- B.
Barbiturates deprive people of REM sleep
- C.
When the barbiturates are discontinued, the NREM sleep increases.
- D.
When the barbiturates are discontinued, the REM sleep increases.
- E.
Nightmares are often an adverse effect when discontinuing barbiturates.
- 10.Select all that apply that is appropriate when there is a benzodiazepine overdose:
- A.
Administration of syrup of ipecac
- B.
Gastric lavage
- C.
Activated charcoal and a saline cathartic
- D.
Hemodialysis
- E.
Administration of Flumazenil
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