This NCLEX practice quiz includes questions on client nutrition post-laryngectomy, nursing assessments, and care practices for various medical conditions, helping prepare for the NCLEX exam.
A patient at 16 weeks’ gestation admitted with hyperemesis and receiving IV fluids.
A patient at 26 weeks’ gestation in premature labor and receiving terbutaline (Brethine).
A patient at 32 weeks’ gestation with a placenta previa and ruptured membranes.
A patient at 37 weeks’ gestation with pregnancy-induced hypertension and epigastric pain.
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Legumes.
Red meat.
Seafood.
Cheese.
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apical pulse for 60 seconds.
blood pressure.
urine output.
temperature.
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Client is in the supine position.
The head of the bed is elevated 30 degrees.
The client is lying on the right side.
An eye shield is over the right eye.
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impaired swallowing.
failure to thrive.
fluid volume deficit.
altered health maintenance.
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February 1.
February 15.
February 19.
March 14.
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Avoid strenuous activity.
Eat more foods with increased bulk.
Decrease fluid intake to decrease urinary losses.
Use oral laxatives so that a bowel pattern emerges.
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Risk for constipation related to immobilization.
Risk for impaired skin integrity related to immobilization and secretions.
Risk for wound infection related to involuntary bowel secretions.
Risk for fluid volume excess related to secretions.
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Tachycardia.
Diarrhea.
Peripheral edema.
Impotence.
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Hold the medication and count the respirations.
Hold the medication and call the physician.
Take an apical pulse and then give the medication.
Give the mediation as ordered.
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A small amount of white mucus is aspirated from the NG tube.
The contents aspirated from the NG tube have a pH of 3.
No bubbles are seen when the nurse inverts the NG tube in water.
The client says he can feel the NG tube in the back of his throat.
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Promote ventilation and prevent respiratory acidosis.
Increase oxygenation and removal of secretions.
Increase pH and facilitate balance of bicarbonate.
Prevent respiratory alkalosis by increasing oxygenation.
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Provide adequate hygiene and nutrition.
Decrease environmental stimuli.
Slowly involve the client in unit activities.
Administer and monitor sedative and mood-stabilizing medications.
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Pattern of alternating diarrhea and constipation.
Chronic diarrhea stools occurring 10 to 12 times per day.
Diarrhea and vomiting with severe abdominal distention.
Bloody stools with increased cramping after eating.
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Minimizes the bacterial count in the mouth.
Softens the mucous membranes of the tongue before surgery.
Stimulates the microcirculation of the mouth.
Hydrates the tissues of the gums.
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Two doses of diphtheria, tetanus, and pertussis vaccine.
Measles, mumps, and rubella vaccines.
A booster dose of the inactivated polio vaccine.
Chickenpox and smallpox vaccines.
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A reaction to the sedative medication.
A worsening course of the withdrawal syndrome.
An exacerbation of the schizophrenia process.
The process of aging and the effects of delirium.
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The patient is anxious and restless.
There is a small amount of dark drainage on the dressing.
The patient complains of persistent pain at the operative site.
The skin is cool above the operative site.
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The nursing assistant answers the phone while wearing gloves.
The nursing assistant log rolls the patient to provide back care.
The nursing assistant places an incontinent pad under the patient.
The nursing assistant positions the patient on the left side, head elevated.
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Babinski’s reflex.
Moro’s reflex.
Tonic neck reflex.
Grasp reflex.
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Record the observation.
Encourage the child to move the foot.
Cover the colder foot with a sock.
Notify the physician.
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"Pull up on the overhead trapeze while you push down on your right foot to lift your body."
"With your right arm, grasp the bedside rail on the opposite side and pull yourself over gently."
"I’ll raise the head of the bed 45 degrees, and then you lean forward and rotate your hips to the left."
"Swing your right leg over your left leg and turn from your waist down, keeping your legs straight."
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Option 1
Option 2
Option 3
Option 4
Check the radial pulses bilaterally and compare.
Evaluate the skin temperature and tissue turgor in the area.
Assess sensation of each foot while the child closes her eyes.
Apply baby powder to decrease skin irritation under the cast.
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Decrease the IV rate to 20 mL/h and notify the physician.
Decrease the IV rate to 100 mL/h and continue to monitor the client.
Discontinue the IV and start oxygen at 6 L/min.
Assess for infiltration of the IV solution.
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Sensory–perceptual alterations: visual.
Altered thought processes.
Ineffective individual coping.
Impaired social interaction.
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A client with AIDS dementia complex who requires a urine specimen.
A client complaining of postoperative pain after repair of a torn rotator cuff.
A client with GI bleeding due to a duodenal ulcer who is receiving packed cells.
A client with type 1 diabetes receiving prednisone for a herniated disk.
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The client has edema of the lower extremities.
Physical exam of the client reveals the presence of lanugo.
The client has ulcerated mucous membranes of the mouth.
The client has dry, yellowish color of the skin.
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Hypovolemia.
Hypoglycemia.
Hyperglycemia.
Cold stress.
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High protein, high fat, and high calories.
High protein, low fat, and high calories.
Low protein, low fat, and low carbohydrate.
High protein, high fat, and low carbohydrate.
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these tests are valuable screening tests for prostatic cancer.
the level of PSA is decreased in clients with renal stones.
the tests reflect the level of renal involvement in acid-base problems.
the level of PSA is elevated in clients in early-stage renal failure.
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"I have been having difficulty with my hearing."
"I lose my balance easily."
"I can't tell the difference between a sweet and sour taste."
"It is not easy for me to remember names and faces."
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Anger and frustration.
Awareness of vulnerability.
Increased social isolation.
Increased sensory stimulation.
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"Your hair will be carefully washed prior to the procedure."
"This is a noninvasive procedure that takes about 30 minutes."
"A sedative will be given to you shortly before the procedure."
"You will not be allowed to eat 4 to 6 hours before the procedure."
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The baby is Rh-negative, the mother is Rh-negative, and the father is Rh-positive.
The mother is Rh-negative, the baby is Rh-positive, and there is a negative direct Coombs.
The mother is Rh-positive and previously sensitized, and the baby is Rh-negative.
The mother is Rh-positive, the baby is Rh-negative, and there is a history of one incomplete pregnancy.
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A 20-year-old in traction for multiple fractures of the left lower leg.
A 35-year-old with recurrent fever of unknown origin.
A 50-year-old recovering alcoholic with cellulitis of the right foot.
An 89-year-old with Alzheimer’s disease awaiting nursing home placement.
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A nurse and client wear masks during a dressing change for the central catheter used for total parenteral nutrition.
A nurse injects insulin through a single-lumen percutaneous central catheter for a client receiving total parenteral nutrition.
A nurse applies lip balm to his/her lips immediately after performing a blood draw to obtain a specimen.
A nurse wears a disposable particulate respirator when administering rifampin to a client with tuberculosis.
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Sore throat, fever, increased fatigue, vomiting, diarrhea.
Dry mouth, nasal stuffiness, weight gain.
Rapid heartbeat, frequent headaches, yellowing of eyes or skin.
Weakness, staggering gait, tremor, feeling of drunkenness.
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Perform a straight catheterization.
Offer the client the bedpan.
Put the baby to breast.
Massage the uterine fundus.
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Guarantees secure placement of the tracheostomy tube in the airway.
Prevents ischemia of the tracheal wall by distributing the pressure applied to it.
Decreases the chance of aspiration into the trachea.
Protects the trachea from ischemia and edema.
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Teach new skills for adjusting to the aging process.
Adjust the environment to meet the client’s individual needs.
Encourage competitive activities to keep the client physically strong.
Provide unstructured activities with frequent changes to increase stimulation.
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Epigastric pain.
Restlessness.
Tachypnea.
Lethargy.
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Allow the patient to use the phone.
Confront the patient about his anger and inappropriate plan of action.
Do not allow the patient to use the phone because he is an involuntary patient.
Set limits on the patient’s phone use because he has been unable to control his behavior.
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Acetone odor to the breath, polyuria, and flushed skin.
Irritability, tachycardia, and diaphoresis.
Headache, nervousness, and polydipsia.
Tenseness, tachycardia, and anorexia.
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1 year old.
2 years old.
3 years old.
5 years old.
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Take the medication with milk or antacids to decrease GI problems.
The medication should always be taken with meals.
Use a maximum-protection sunscreen when outdoors.
Crackers and juice will help decrease gastric irritation.
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Sensation loss in an upper extremity.
Clonic jerks in the affected foot.
Paresthesia in the affected leg.
Chorea in the upper and lower extremities.
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A client with bipolar disorder walks into the day room in her underwear and begins dancing.
A client with depression says to the nurse, "My plan is complete, and I’m ready to go for it."
A client recovering from substance abuse complains that another client is harassing him.
A client with schizophrenia tells the nurse that it’s "God’s will" that he destroy the "evil TV."
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