NCLEX Select All That Apply Practice Exam 3 (10 Questions)

10 Questions | Total Attempts: 4395

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NCLEX Select All That Apply Practice Exam 3 (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.


Questions and Answers
  • 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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