NCLEX Practice Exam 21 (10 Questions)

10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 4082

Questions

Settings

Create your own 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.

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.