NCLEX Practice Exam 14 (10 Questions)

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NCLEX Practice Exam 14 (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. 

    The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    • A.

      Administer the medications together in one syringe

    • B.

      Administer the medication separately

    • C.

      Administer the Valium. wait 5 minutes. and then inject the Phenergan

    • D.

      Question the order because they cannot be given at the same time

    Correct Answer
    B. Administer the medication separately
    Explanation
    Valium is not given in the same syringe with other medications. so answer A (Douche after intercourse) is incorrect. These medications can be given to the same client. so answer D (Ambulating the client with a fractured hip) is incorrect. In answer C (Feeding the client with dementia). it is not necessary to wait to inject the second medication. Valium is an antianxiety medication. and Phenergan is used as an antiemetic.

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  • 2. 

    A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    • A.

      Douche after intercourse

    • B.

      Void every 3 hours

    • C.

      Obtain a urinalysis monthly

    • D.

      Wipe from back to front after voiding

    Correct Answer
    B. Void every 3 hours
    Explanation
    Voiding every 3 hours prevents stagnant urine from collecting in the bladder. where bacteria can grow. Douching is not recommended and obtaining a urinalysis monthly is not necessary. making answers A and C incorrect. The client should practice wiping from front to back after voiding and bowel movements. so answer D is incorrect.

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  • 3. 

    Which task should be assigned to the nursing assistant?

    • A.

      Placing the client in seclusion

    • B.

      Emptying the Foley catheter of the preeclamptic client

    • C.

      Feeding the client with dementia

    • D.

      Ambulating the client with a fractured hip

    Correct Answer
    C. Feeding the client with dementia
    Explanation
    Of these clients. the one who should be assigned to the care of the nursing assistant is the client with dementia. Only an RN or the physician can place the client in seclusion. so answer A (Placing the client in seclusion) is incorrect. The nurse should empty the Foley catheter of the preeclamptic client because the client is unstable. making answer B incorrect. A nurse or physical therapist should ambulate the client with a fractured hip. so answer D is incorrect.

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  • 4. 

    The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    • A.

      A tracheotomy set

    • B.

      A padded tongue blade

    • C.

      An endotracheal tube

    • D.

      An airway

    Correct Answer
    A. A tracheotomy set
    Explanation
    The client who has recently had a thyroidectomy is at risk for tracheal edema. A padded tongue blade is used for seizures and not for the client with tracheal edema. so answer B is incorrect. If the client experiences tracheal edema. the endotracheal tube or airway will not correct the problem. so answers C and D are incorrect.

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  • 5. 

    The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    • A.

      Cats

    • B.

      Dogs

    • C.

      Turtles

    • D.

      Birds

    Correct Answer
    D. Birds
    Explanation
    Histoplasmosis is a fungus carried by birds. It is not transmitted to humans by cats. dogs. or turtles. Therefore. answers A. B. and C are incorrect.

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  • 6. 

    What’s the first intervention for a patient experiencing chest pain and an p02 of 89%?

    • A.

      Administer morphine.

    • B.

      Administer oxygen.

    • C.

      Administer sublingual nitroglycerin.

    • D.

      Obtain an electrocardiogram (ECC)

    Correct Answer
    B. Administer oxygen.
    Explanation
    Administering supplemental oxygen to the patient is the first priority. Administer oxygen to increase SpO2 to greater than 90% to help prevent further cardiac damage. Sublingual nitroglycerin and morphine are commonly administered after oxygen.

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  • 7. 

    Which of the following signs and symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?

    • A.

      Abdominal pain.

    • B.

      Absent pedal pulses.

    • C.

      Chest pain.

    • D.

      Lower back pain.

    Correct Answer
    D. Lower back pain.
    Explanation
    Lower back pain results from expansion of the aneurysm.  The expansion applies pressure in the abdomen. and the pain is referred to the lower back.

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  • 8. 

    In which of the following types of cardiomyopathy does cardiac output remain normal?

    • A.

      Dilated.

    • B.

      Hypertrophic.

    • C.

      Obliterative.

    • D.

      Restrictive.

    Correct Answer
    B. Hypertrophic.
    Explanation
    Cardiac output isn’t affected by hypertrophic cardiomyopathy because the size of the ventricle remains relatively unchanged.  Dilated cardiomyopathy. obliterative cardiomyopathy. and restrictive cardiomyopathy all decrease cardiac output.

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  • 9. 

    Which of the following interventions should be your first priority when treating a patient experiencing chest pain while walking?

    • A.

      Have the patient sit down.

    • B.

      Get the patient back to bed.

    • C.

      Obtain an ECG.

    • D.

      Administer sublingual nitroglycerin.

    Correct Answer
    A. Have the patient sit down.
    Explanation
    The initial priority is to decrease oxygen consumption by sitting the patient down. Administer sublingual nitroglycerin (Option D) as you simultaneously do the ECG. When the patient’s condition is stabilized. he can be returned to bed (Option B).

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  • 10. 

    Which of the following positions would best aid breathing for a patient with acute pulmonary edema?

    • A.

      Lying flat in bed.

    • B.

      Left side-lying position.

    • C.

      High Fowler’s position.

    • D.

      Semi-Fowler’s position.

    Correct Answer
    C. High Fowler’s position.
    Explanation
    High Fowler’s position facilitates breathing by reducing venous return. Lying flat and side-lying positions worsen breathing and increase the heart’s workload.

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