NCLEX Select All That Apply Practice Exam 5 (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.
- 1.A community health nurse is conducting a teaching session about terrorism with members of the community and discussing information regarding anthrax. The nurse tells those attending that anthrax can be transmitted via which route(s)? Select all that apply.
- A.
Skin
- B.
Kissing
- C.
Inhalation
- D.
Gastrointestinal
- E.
Direct contact with an infected individual
- F.
Sexual contact with an infected individual
- 2.The emergency room nurse is providing discharge teaching to the parents of a 2-year-old child who sustained burns from a hot cup of coffee that had been left on the kitchen counter. The nurse evaluates that the parents have correctly understood the teaching when they state which of the following?
- A.
“We will be sure to not leave hot liquids unattended.”
- B.
“I guess my child needs to understand what the word ‘hot’ means.”
- C.
“We will be sure that our child stays in his room when we work in the kitchen.”
- D.
“We will install a safety gate as soon as we get home so that our child can’t get into the kitchen.”
- 3.A licensed practical nurse is attending an agency orientation meeting about the nursing model of practice implemented in the facility. The nurse is told that the nursing model is a team nursing approach. The nurse understands that which of the following is a characteristic of this type of nursing model of practice?
- A.
A task approach method is used to provide care to clients.
- B.
Managed care concepts and tools are used when providing client care.
- C.
Nursing staff are led by a nurse when providing care to a group of clients.
- D.
A single registered nurse is responsible for providing nursing care to a group of clients.
- 4.A licensed practical nurse is planning the client assignments for the day. Which of the following is the most appropriate assignment for the nursing assistant?
- A.
A client who requires wound irrigation
- B.
A client who requires frequent ambulation
- C.
A client who is receiving continuous tube feedings
- D.
A client who requires frequent vital signs after a cardiac catheterization
- 5.A male client who has heart failure receives an additional dose of bumetanide as prescribed 4 hours after the daily dose. The nurse assesses him 15 minutes after administering the medication and reminds him to save all urine in the bathroom. Thirty minutes later the nurse finds the client on the floor. unresponsive. and bleeding from a laceration. Determine the issues that support the client’s malpractice claim. Select all that apply.
- A.
Failure to replace body fluids
- B.
Increased risk of hypotension
- C.
Failure to teach the client adequately
- D.
Increased need to protect the client
- E.
Excessive bumetanide administration
- F.
Lack of follow-up nursing actions
- 6.A nurse develops a plan of care for a client following a lumbar puncture. Which interventions should be included in the plan? Select all that apply.
- A.
Monitor the client’s ability to void.
- B.
Maintain the client in a flat position.
- C.
Restrict fluid intake for a period of 2 hours.
- D.
Monitor the client’s ability to move the extremities.
- E.
Inspect the puncture site for swelling, redness, and drainage.
- F.
Maintain the client on a nothing-by-mouth (NPO) status for 24 hours.
- 7.A nurse employed in an emergency department is assigned to assist with the triage of clients arriving to the emergency department for treatment on the evening shift. The nurse would assign the highest priority to which of the following clients?
- A.
A client complaining of muscle aches. a headache. and malaise
- B.
A client who twisted her ankle when she fell while rollerblading
- C.
A client with a minor laceration on the index finger sustained while cutting an eggplant
- D.
A client with chest pain who states that he just ate pizza that was made with a very spicy sauce
- 8.A nurse enters a client’s room and notes that the client’s lawyer is present and that the client is preparing a living will. The living will requires that the client’s signature be witnessed. and the client asks the nurse to witness the signature. Which of the following is the appropriate nursing action?
- A.
Decline to sign the will.
- B.
Sign the will as a witness to the signature only.
- C.
Call the hospital lawyer before signing the will.
- D.
Sign the will. clearly identifying credentials and employment agency.
- 9.A nurse has reinforced instructions to the client with hyperparathyroidism regarding home care measures related to exercise. Which statement by the client indicates a need for further instruction? Select all that apply.
- A.
“I enjoy exercising but I need to be careful.”
- B.
“I need to pace my activities throughout the day.”
- C.
“I need to limit playing football to only the weekends.”
- D.
“I should gauge my activity level by my energy level.”
- E.
“I should exercise in the evening to encourage a good sleep pattern.”
- 10.A nurse in a medical unit is caring for a client with heart failure. The client suddenly develops extreme dyspnea. tachycardia. and lung crackles. and the nurse suspects pulmonary edema. The nurse immediately notifies the registered nurse and expects which interventions to be prescribed? Select all that apply.
- A.
Administering oxygen
- B.
Inserting a Foley catheter
- C.
Administering furosemide (Lasix)
- D.
Administering morphine sulfate intravenously
- E.
Transporting the client to the coronary care unit
- F.
Placing the client in a low Fowler’s side-lying position
Questions: 10 | Attempts: 63208 | Last updated: Aug 28, 2022
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