NCLEX Rn Comprehensive Quiz

10 Questions | By Whatisnclex

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Questions and Answers

1.

Which of the following clients is at highest risk for colorectal cancer?

Discuss
- A.
  
  The client who smokes.
- B.
  
  The client who has been treated for Crohn’s disease for 20 years.
- C.
  
  The client who has a family history of lung cancer.
- D.
  
  The client who eats a vegetarian diet
2.

The nurse monitors the serum electrolyte levels of a client who is taking digoxin (Lanoxin). Which of the following electrolyte imbalances is common cause of digoxin toxicity?

Discuss
- A.
  
  Hypocalcemia.
- B.
  
  Hyponatremia.
- C.
  
  Hypomagnesemia.
- D.
  
  Hypokalemia.
3.

An 18-year-old client who recently had an upper respiratory infection is admitted with suspected rheumatic fever. Which assessment findings confirm this diagnosis?

Discuss
- A.
  
  Erythema marginatum, subcutaneous nodules, and fever
- B.
  
  Dyspnea, fatigue, and syncope
- C.
  
  Tachycardia, finger clubbing, and a loud second heart sound (S2)
- D.
  
  Dyspnea, cough, and palpitations
4.

A client has a reduced serum high-density lipoprotein (HDL) level and an elevated low-density lipoprotein (LDL) level. Which dietary modification is appropriate for this client?

Discuss
- A.
  
  Fiber intake of less than 10% of total calories daily
- B.
  
  Less than 7% of calories from saturated fat
- C.
  
  Cholesterol intake of less than 300 mg daily
- D.
  
  Less than 40% of calories from fat
5.

Assessment of a nulligravid client in active labor reveals the following: complaints of moderate discomfort; cervix dilated 3 cm, 0 station and completely effaced; fetal heart rate of 136 bpm. Which of the following should the nurse plan to do next?

Discuss
- A.
  
  Prepare the client for epidural anesthesia to relieve pain.
- B.
  
  Turn the client from the left side-lying position to the right side-lying position.
- C.
  
  Instruct the client that internal fetal monitoring is necessary.
- D.
  
  Assist the client with comfort measures and breathing techniques.
6.

A client who is complaining of back and left flank pain is diagnosed with renal calculi. The client is experiencing periods of complete comfort alternating with periods of excruciating pain, accompanied by nausea and difficulty walking. Based on these data, what is the priority nursing diagnosis for this client?
- A.
  
  Activity intolerance.
- B.
  
  Deficient fluid volume.
- C.
  
  Imbalanced nutrition: Less than body requirements.
- D.
  
  Acute pain.
7.

A potential concern when caring for an older adult who has diminished hearing and vision would be the client’s:

Discuss
- A.
  
  Cognitive impairment.
- B.
  
  Feelings of disorientation.
- C.
  
  Sensory overload.
- D.
  
  Social isolation.
8.

On entering toddler’s room, the nurse finds the mother sitting about 8 feet from the child and watching television when the toddler is screaming. Which of the following is the most appropriate response by the nurse?

Discuss
- A.
  
  Did something cause your child to be upset?
- B.
  
  Have you tried to calm down your child?
- C.
  
  Why is your child screaming?
- D.
  
  What happened between you and your child?
9.

A nurse is teaching a 50-year-old client how to decrease risk factors for coronary artery disease. He’s an executive who smokes, has a type A personality, and is hypertensive. Which risk factor is nonmodifiable?

Discuss
- A.
  
  Age
- B.
  
  Smoking
- C.
  
  Personality
- D.
  
  Hypertension
10.

A nurse asks a nursing assistant to help admit an elderly client diagnosed with pneumonia. Which activity is appropriate for the nurse to ask the assistant to perform?
- A.
  
  Assess lung sounds.
- B.
  
  Insert a small-bore feeding tube.
- C.
  
  Obtain an arterial blood gas sample.
- D.
  
  Obtain the client’s height and weight.

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