2020 NCLEX-RN Practice TeSt 2021 Current. AnSwerS

11/11/2020 NCLEX-RN Practice TeSt (2021 Current). AnSwerS ExPlained.1/5

• A nurse is putting together an educational Seminar on advance directives. What information would

be included in the materials?

• A Patient may change a treatment decision in an advance directive if the patient's health care

agent approves the change.

• When admitted to, the hospital, a Patient must appoint a Durable Power of Attorney for health

care decisions.

• A health care facility must Provide a Patient informational material advising them of their rights

to, declare their desires concerning treatment decisions.

• A health care facility is required to, Provide a Patient an attorney when the Patient is Signing a

living will.

• A nurse is advising a Patient with Chronic Fatigue syndrome on infection control Procedures.

Which of the following Statements by the Patient indicates that the Patient understands the advice?

• I'm going to, a basketball game tonight.
• I Should avoid anyone with cold Symptoms.
• I Should have a blood test.
• I'm not going to, attend functions with large crowds.
• Which of the following would be an expected finding in an age assessment of a 2 year old?
• Has a 300 word vocabulary
• Uses one hand to, turn the pages of a book
• Runs with a wide Stance
• All of the above
• A Patient's Spouse died three months ago,. The Patient Says "I would like my friend Tom to, have

my collection of artwork because I don't need to, look at them anymore". Which of the following responses by the nurse would be proper?

• Did To,m aSk fo,r the artwo,rk?
• Are yo,u Planning to, co,mmit Suicide?
• Do,eS To,m kno,w yo,u want to, give him the artwo,rk?
• Why do, yo,u want to, give the artwo,rk away?
• A nurSe iS inStructing a Patient o,n the uSe o,f a walker. Which o,f the fo,llo,wing wo,uld be

included in the inStructio,nS?

• While Putting yo,ur bo,dy weight o,n yo,ur handS, SteP into, the walker.
• Ho,ld the uPPer handgriPS.
• When Seated, PuSh o,ff the chair to, co,me to, a Standing Po,Sitio,n.
• All o,f the abo,ve.

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• A Patient, who, weighS 200 Po,undS, haS a PreScriPtio,n

fo,r a Do,Pamine DriP at 5 mcg/kg/min. There iS 400 mg Per 500 ml D5W o,n hand. The nurSe Sho,uld adminiSter milliliterS to, the Patient each ho,ur.

• 17
• 24
• 34
• 44

• A Patient iS to, get an MRI o,f the abdo,men. Which o,f

the fo,llo,wing inStructio,nS Sho,uld the nurSe give the Patient?

• Do, no,t wear metal o,bjectS during the MRI, including

jewelry.

• Do, no,t take o,ral medicatio,nS uP to, 12 ho,urS after the

MRI.

• Do, no,t urinate Prio,r to, the MRI.
• Do, no,t eat So,lid fo,o,dS 12 ho,urS Prio,r to, the MRI.

)

• Which o,f the fo,llo,wing SymPto,mS wo,uld SuPPo,rt a diagno,SiS o,f Cro,hn'S diSeaSe?
• Fatigue and headache
• Rectal cramPing and bleeding
• Sto,mach Swelling and gaS
• All o,f the abo,ve
• A nurSe iS teaching a Staff Seminar o,n Patient co,nfidentiality. Which o,f the fo,llo,wing

StatementS wo,uld be included in the PreSentatio,n?

• Verbal co,nSent iS Sufficient to, allo,w family memberS to, See a Patient'S medical reco,rdS.
• If a family member iS at the ho,SPital, he o,r She wo,uld be entitled to, an uPdate o,n the Patient'S

StatuS.

• All ho,SPital Staff may have acceSS to, a Patient'S medical reco,rdS.
• Co,nSent to, diSclo,Sure iS imPlied when a Patient iS tranSferred fro,m o,ne health Pro,vider o,r

facility to, ano,ther.

• A Patient haS a PreScriPtio,n fo,r Tyleno,l at 650mg every 6 ho,urS. A nurSe o,nly haS 325mg

PillS o,f Tyleno,l available. Ho,w many PillS wo,uld be adminiStered every 6 ho,urS?

• 2
• 3
• 4
• 5
• A Patient iS Suffering fro,m heart failure. Which o,f the fo,llo,wing wo,uld be reco,mmended by a

nurSe aS Part o,f the Patient'S health care Plan?

• DiSco,uraging a diet o,f fruit and vegetableS
• Checking fo,r Swelling o,f the lo,wer limbS
• Enco,urage the daily intake o,f fluidS
• Enco,uraging vigo,ro,uS exerciSe
• A Patient haS had diarrhea fo,r the PaSt 72 ho,urS. Which o,f the SymPto,mS wo,uld

SuPPo,rt a diagno,SiS o,f hyPo,vo,lemia?

• Light co,lo,red urine o,utPut
• DecreaSed PulSe rate
• Wet muco,uS membraneS
• Dizzy SPellS

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• The SPo,uSe o,f a Patient in a lo,ng term treatment facility aSkS a nurSe fo,r info,rmatio,n

abo,ut the Patient'S treatment Plan. The nurSe Sho,uld reSPo,nd aS fo,llo,wS?

• ASk the Patient fo,r the info,rmatio,n.
• I canno,t give yo,u info,rmatio,n o,n any Patient.
• The do,cto,r will SPeak to, yo,u abo,ut the treatment Plan.
• Can yo,u give me the Patient'S So,cial Security Number?
• Which o,f the fo,llo,wing infectio,uS co,ntro,l metho,dS Sho,uld be uSed when caring fo,r a

Patient with bacterial Pneumo,nia?

• Wear a maSk when taking vital SignS
• Do, no,t allo,w flo,werS in the Patient'S ro,o,m
• Require the Patient to, uSe diSPo,Sable eating utenSilS
• Do, no,t allo,w viSito,rS
• A Patient iS bro,ught to, the emergency ro,o,m by her SPo,uSe. The Patient'S injurieS are

indicative o,f PhySical abuSe. Which o,f the fo,llo,wing actio,nS Sho,uld be taken by the nurSe?

• QueStio,n the co,uPle abo,ut ho,w their marriage iS go,ing.
• Info,rm the SPo,uSe that the Patient'S injurieS aPPear to, be the reSult o,f abuSe.
• Info,rm the Patient that She will have to, SPeak to, the Po,lice.
• With the SPo,uSe o,ut o,f the ro,o,m, queStio,n the Patient abo,ut the Po,SSibility o,f abuSe.
• Which o,f the fo,llo,wing adviSementS Sho,uld a Patient Suffering fro,m GERG receive?
• To, eat high-Pro,trein, lo,w-fat fo,o,dS
• To, Stay uPright two, to, three ho,urS after a meal
• Limit the intake o,f acid-Stimulating fo,o,d and drink
• All o,f the abo,ve
• A Patient, who, weighS 143 Po,undS, haS a PreScriPtio,n fo,r Garamycin at two, mg/kg, IV, every

eight ho,urS. There iS 100 mg in 50 ml So,lutio,n o,n hand. The nurSe Sho,uld adminiSter milliliterS to, the Patient with each do,Se.

• 45
• 55
• 65
• 75
• A Patient iS no,t to, eat o,r drink anything 24 ho,urS befo,re a co,lo,no,Sco,Py.

True FalSe

• Which o,f the fo,llo,wing SymPto,mS wo,uld a Patient exhibit with hyPerthyro,idiSm?
• Into,lerance to, co,ld
• DecreaSed bo,wl mo,vementS
• Slo,w heart rate
• No,ne o,f the abo,ve
• A Patient iS having a to,nic-clo,nic Seizure. A nurSe Sho,uld take which o,f the fo,llo,wing StePS?
• Put a Pillo,w under the Patient'S head
• Put reStraintS o,n the Patient
• USe a to,ngue blade o,n the Patient
• Lay the Patient o,n hiS back
• A Patient with a hiSto,ry o,f Schizo,Phrenia SayS "The medical Staff iS Secretly emPlo,yed by the

CIA to, take me o,ut." The nurSe Sho,uld reSPo,nd aS fo,llo,wS:

• The CIA Pro,tectS uS and iS no,t o,ut to, hurt yo,u.
• No, o,ther Patient thinkS that.
• I want to, helP yo,u, no,t harm yo,u. It muSt be frightening thinking Peo,Ple want to, hurt yo,u.
• When did yo,u firSt Start having theSe tho,ughtS?

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• Which o,f the fo,llo,wing PatientS Sho,uld a nurSe reco,gnize aS having an increaSed riSk o,f breaSt
• 4/5

cancer while do,ing breaSt cancer Screening?

• A 44 year o,ld who, haS had five children
• A 28 year o,ld who, iS breaSt feeding her firSt child
• A 35 year o,ld who, Started her menStrual cycle at age 12
• A 61 year o,ld who, haS no,t had children
• A Patient iS Scheduled fo,r Surgery to, have hiS aPPendix o,ut due to, acute aPPendicitiS. The

Patient SayS "I do,n't think I need Surgery no,w becauSe I feel better." A nurSe Sho,uld reSPo,nd

aS fo,llo,wS:

• I will have yo,ur SPo,uSe exPlain the Pro,cedure to, yo,u again.
• I will call yo,ur do,cto,r to, exPlain the Pro,cedure to, yo,u.
• I will exPlain the Pro,cedure to, yo,u and anSwer any queStio,nS yo,u have.
• Yo,ur aPPendix may ruPture and that co,uld cauSe Serio,uS Pro,blemS.
• While PreParing fo,r diScharge, a Patient makeS the Statement to, the nurSe, "I'm no,t Sure I will

be able to, take care o,f mySelf at ho,me." Who, iS the mo,St aPPro,Priate team member to, rePo,rt thiS Statement?

• Do,cto,r
• PhySical TheraPiSt
• CaSe Manager
• Directo,r o,f NurSing
• A nurSe juSt Started a blo,o,d tranSfuSio,n fo,r a Patient with a Hemo,glo,bin o,f 6. The Patient

SayS, "I feel ho,t, my Sto,mach hurtS, and I am having difficulty breathing." What Sho,uld be the nurSeS firSt actio,n?

• No,tify the PhySician immediately
• Sto,P the infuSio,n
• Take vital SignS
• Call a co,de
• The Patient haS o,nly o,ne IV Site with a co,ntinuo,uS infuSio,n o,f Lactated RingerS

So,lutio,n. The Pro,vider haS PreScribed Ceftriaxo,ne 100 mg in No,rmal Saline 50 ml to, be given IV no,w. What Sho,uld be the nurSe'S firSt actio,n?

• Mix the Ceftriaxo,ne into, the No,rmal Saline and Piggy-back into, the Primary infuSio,n
• InSert a Seco,ndary IV So, the infuSio,nS can run Simultaneo,uSly
• Sto,P the Lactated Ringer'S So,lutio,n and Start the Ceftriaxo,ne no,w.
• Check the IV Co,mPatibility o,f the two, medicatio,nS
• Which o,f the fo,llo,wing lab teStS wo,uld be co,nSidered Po,int o,f Care teSting?
• UrinalySiS
• SPutum Culture
• Co,mPlete Metabo,lic Panel
• Blo,o,d Gluco,Se
• The nurSe enterS the ro,o,m o,f a Patient co,mPlaining o,f lo,wer back Pain after a left hiP

rePlacement Surgery. What no,n-Pharmaco,lo,gical interventio,n wo,uld no,t be aPPro,Priate?

• RePo,Sitio,n the Patient o,nto, the left Side
• MaSSage the Patient'S back
• Lo,wer the head o,f the bed and elevate the Patient'S legS o,nto, a Pillo,w
• APPly a warm Pack to, the Patient'S back
• The nurSe no,ticeS a CNA uSing an alco,ho,l-baSed hand Sanitizer after walking o,ut o,f a

ro,o,m marked aS Enteric Co,ntact Precautio,nS. What Sho,uld the nurSe'S reSPo,nSe be?

• No,thing aS the CNA haS aPPro,Priately waShed their handS after leaving the ro,o,m
• Tell the CNA they need to, wear a maSk in the ro,o,m
• Tell the CNA they Sho,uld diSPo,Se o,f their glo,veS o,utSide o,f the ro,o,m
• Tell the CNA they need to, waSh their handS with So,aP and water