NCLEX Practice Exam 21 (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 client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?
- A.
Place the client in a sitting position with the head hyperextended
- B.
Pack the nares tightly with gauze to apply pressure to the source of bleeding
- C.
Pinch the soft lower part of the nose for a minimum of 5 minutes
- D.
Apply ice packs to the forehead and back of the neck
- 2.A client has had a unilateral adrenalectomy to remove a tumor. To prevent complications. the most important measurement in the immediate postoperative period for the nurse to take is:
- A.
Blood pressure
- B.
Temperature
- C.
Output
- D.
Specific gravity
- 3.A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past 3 days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?
- A.
Glucometer readings as ordered
- B.
Intake/output measurements
- C.
Sodium and potassium levels monitored
- D.
Daily weights
- 4.A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurse’s next action be?
- A.
Obtain a crash cart
- B.
Check the calcium level
- C.
Assess the dressing for drainage
- D.
Assess the blood pressure for hypertension
- 5.A 32-year-old mother of three is brought to the clinic. Her pulse is 52. there is a weight gain of 30 pounds in 4 months. and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?
- A.
Impaired physical mobility related to decreased endurance
- B.
Hypothermia r/t decreased metabolic rate
- C.
Disturbed thought processes r/t interstitial edema
- D.
Decreased cardiac output r/t bradycardia
- 6.The client is having an arteriogram. During the procedure. the client tells the nurse. “I’m feeling really hot.” Which response would be best?
- A.
“You are having an allergic reaction. I will get an order for Benadryl.”
- B.
“That feeling of warmth is normal when the dye is injected.”
- C.
“That feeling of warmth indicates that the clots in the coronary vessels are dissolving.”
- D.
“I will tell your doctor and let him explain to you the reason for the hot feeling that you are experiencing.”
- 7.The nurse is observing several healthcare workers providing care. Which action by the healthcare worker indicates a need for further teaching?
- A.
The nursing assistant wears gloves while giving the client a bath.
- B.
The nurse wears goggles while drawing blood from the client.
- C.
The doctor washes his hands before examining the client.
- D.
The nurse wears gloves to take the client’s vital signs.
- 8.The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client’s ECT has been effective?
- A.
The client loses consciousness.
- B.
The client vomits.
- C.
The client’s ECG indicates tachycardia.
- D.
The client has a grand mal seizure.
- 9.The 5-year-old is being tested for enterobiasis (pinworms). To collect a specimen for assessment of pinworms. the nurse should teach the mother to:
- A.
Examine the perianal area with a flashlight 2 or 3 hours after the child is asleep
- B.
Scrape the skin with a piece of cardboard and bring it to the clinic
- C.
Obtain a stool specimen in the afternoon
- D.
Bring a hair sample to the clinic for evaluation
- 10.The nurse is teaching the mother regarding treatment for enterobiasis. Which instruction should be given regarding the medication?
- A.
Treatment is not recommended for children less than 10 years of age.
- B.
The entire family should be treated.
- C.
Medication therapy will continue for 1 year.
- D.
Intravenous antibiotic therapy will be ordered.
Questions: 25 | Attempts: 19345 | Last updated: Apr 5, 2016
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