Module 6 NCLEX Questions

Module 6 NCLEX Questions 1.The nurse is planning the client assignments for the day. Which is the most appropriate assignment for the unlicensed assistive personnel (UAP)?A.A client who requires wound irrigation B.A client who requires frequent ambulation C.A client who is receiving continuous tube feedings D.A client who requires frequent vital signs after a cardiac catheterization 2.The nurse employed in a long-term care facility is planning the client assignments for the shift. Which client should the nurse assign to the unlicensed assistive personnel (UAP)?A.A client who requires a 24-hour urine collection B.A client who requires twice-daily dressing changes C.A client with diabetes mellitus who requires daily insulin and the reinforcement of dietary measures D.A client who has been placed on a bowel management program and requires rectal suppositories and a daily enema 3.The nurse is assigned to care for four clients. When planning client rounds, which client should the nurse check first?A.A client in skeletal traction B.A client who is dependent on a ventilator C.A postoperative client preparing for discharge D.A client admitted during the previous shift with a diagnosis of gastroenteritis 4.The nurse employed in an emergency department is assigned to assist with the triage of clients arriving to the emergency department. The nurse should assign priority to which client?A.A client complaining of muscle ache, headache, and malaise B.A client who twisted their ankle when they fell in-line skating C.A client with a minor laceration on the index finger sustained while cutting an eggplant D.A client with chest pain who states that they just ate pizza that was made with a very spicy sauce 5.The nurse is assigned to care for four clients. When planning client rounds, which client should the nurse collect data from first?A.A client scheduled for a chest x-ray B.A client requiring daily dressing changes C.A postoperative client preparing for discharge D.A client receiving oxygen who is having difficulty breathing 6.The nurse is caring for a client who is scheduled for surgery. The client states concern about the surgical procedure. How should the nurse initially address the clients concerns?A.Tell the client that preoperative fear is normal.B.Explain all nursing care and possible discomfort that may result.C.Ask the client to discuss information known about the planned surgery.D.Provide explanations about the procedures involved in the planned surgery.

7.The nurse is preparing to care for a dying client and several family members are at the client's bedside. Which therapeutic techniques should the nurse use when communicating with the family? Select all that apply.A.Discourage reminiscing.B.Make the decisions for the family.C.Encourage expression of feelings, concerns, and fears.

Module 6 NCLEX Questions D.Explain everything that is happening to all family members.E.Touch and hold the client's or family member's hand if appropriate.F.Be honest and let the client and family know that they will not be abandoned by the nurse.

8.The nurse should plan which to encourage autonomy in the client who is a resident in a long-term care facility?A.Choosing meals B.Decorating the room C.Scheduling haircut appointments D.Allowing the client to choose social activities 9.Which client is most likely at risk to become a victim of elder abuse?A.A 75-year-old man with moderate hypertension B.A 68-year-old man with newly diagnosed cataracts C.A 90-year-old woman with advanced Alzheimer's disease D.A 70-year-old woman with early diagnosed Lyme disease 10.The nurse is assisting with caring for a postpartum client who is experiencing uterine hemorrhage. When planning to meet the psychosocial needs of the client, the nurse should plan which action?A.Maintain strict bed rest.B.Monitor the vital signs every 2 hours.C.Perform firm fundal massage every 2 hours.D.Keep the client and her family members informed of her progress.

11.The nurse is reinforcing measures regarding the care of the newborn with a mother. To bathe the newborn, the mother should be taught which intervention?A.Begin with the eyes and face.B.Start with the dirtiest area first.C.Begin with the feet and work upward.D.Only wash the diaper area, because this is the only part of the baby that gets soiled.

12.The nurse is collecting data regarding a client after a thyroidectomy and notes the development of a hoarse and weak voice. Which nursing action is appropriate?A.Check for signs of bleeding.B.Administer calcium gluconate.C.Notify the registered nurse immediately.D.Reassure the client that this is usually a temporary condition.

13.The nurse is assisting with caring for the client immediately after insertion of a permanent demand pacemaker via the right subclavian vein. The nurse prevents dislodgement of the pacing catheter by implementing which intervention?A.Limiting movement and abduction of the left arm B.Limiting movement and abduction of the right arm C.Assisting the client to get out of bed and ambulate with a walker D.Having the physical therapist do active range of motion to the right arm 14.The nurse in the mental health unit reviews the therapeutic and nontherapeutic communication techniques with a nursing student. Which are therapeutic communication techniques? Select all that apply.A.Restating B.Listening C.Asking the client, "Why?"

Module 6 NCLEX Questions D.Maintaining neutral responses E.Giving advice, approval, or disapproval F.Providing acknowledgment and feedback 15.A client experiencing a severe major depressive episode is unable to address activities of daily living. Which is the appropriate nursing intervention?A.Feed, bathe, and dress the client as needed until the client can perform these activities independently.B.Offer the client choices and consequences to the failure to comply with the expectation of maintaining activities of daily living.C.Structure the client's day so that adequate time can be devoted to the client's assuming responsibility for the activities of daily living.D.Have the client's peers confront the client about how their noncompliance with addressing activities of daily living affects the milieu.

16.The nurse is collecting data from a client, and the client's spouse reports that the client is taking donepezil hydrochloride. Which disorder should the nurse suspect that this client may have based on the use of this medication?A.Dementia B.Schizophrenia C.Seizure Disorder D.Obsessive-Compulsive Disorder 17.The nurse is caring for an older client who is terminally ill. Which signs indicate to the nurse that death may be imminent?A.Flushed and warm skin B.Eupnea and normal body temperature C.Irregular, noisy breathing and cold, clammy skin D.Presence of swallowing reflex and active bowel sounds 18.The nurse should expect to note which interventions in the plan of care for a client with hypothyroidism? Select all that apply.A.Provide a cool environment for the client.B.Instruct the client to consume a high-fat diet.C.Instruct the client about thyroid replacement therapy.D.Encourage the client to consume fluids and high-fiber foods.E.Inform the client that iodine preparations will be prescribed to treat the disorder.F.Instruct the client to contact the primary health care provider (PHCP) if episodes of chest pain occur.

19.The home care nurse observes that an older male client is confined to his room by his daughter-in-law. When the nurse suggests that he walk to the den and join the family, he says, "I'm in everyone's way, and my son needs me to stay here." Which is the best nursing intervention for this situation?A.Say to the son, "Confining your father to his room is inhumane." B.Say nothing; it is best for the nurse to remain neutral and to wait to be asked for help.C.Suggest to the client and daughter-in-law that they consider a nursing home for the client.D.Suggest appropriate resources such as respite care and a senior citizens' center to the client and daughter-in-law.

20.The psychiatric nurse knows that a therapeutic nurse–client relationship includes which specific goals and functions? Select all that apply.

Module 6 NCLEX Questions A.Promoting self-care and independence B.Acting as an intermediary between the client and family C.Accompanying the client to all group therapy sessions D.Facilitating communication of distressing thoughts and feelings E.Helping clients examine self-defeating behaviors and test alternatives F.Assisting clients with problem solving to help facilitate activities of daily living 21.A client in a manic state emerges from her room. She is topless and is making sexual remarks and gestures toward staff and peers. Which is an appropriate nursing action?A.Approach the client in the hallway and insist that she go to her room.B.Ask the other clients to ignore her behavior; eventually she will return to her room.C.Quietly approach the client, escort her to her room, and assist her in getting dressed.D.Confront the client on the inappropriateness of her behaviors and offer her a time-out.

22.The mother of 6-year-old twins says to the nurse, "My mother-in-law doesn't think our children should come to the funeral service for their grandfather. What do you advise?" Which response made by the nurse would be most appropriate?A."What do you and your husband believe is the right thing for your children?" B."By all means have them attend. Not to do so would promote postmortem grief." C."It's a difficult decision, but given their young age, perhaps omitting the wake and just including the funeral should be best." D."I agree with your mother-in-law. Your mother-in-law is upset enough as it is.Tell your children that their grandfather is in heaven." 23.The nurse in the primary health care provider's office is measuring vital signs on a postoperative client who underwent mastectomy of her right breast 2 weeks ago. The client tells the nurse that she is very concerned because she has numbness in the area of the surgery and along the inner side of the arm from the armpit to the elbow. Which statement is appropriate for the nurse to tell the client?A."These sensations are signs of a complication." B."These sensations probably will be permanent." C."These sensations lessen over several months and usually are gone after 1 year." D."It is nothing to worry about because women who have this type of surgery experience this problem." 24.A stillborn was delivered in the birthing suite a few hours ago. After the birth, the family has remained together, touching the baby. Which statement by the nurse should further assist the family in their initial period of grief?A."Would you like to hold your baby?" B."We need to take the baby from you now so that you can get some sleep." C."Don't worry; there is nothing you could have done to prevent this from happening." D."We will see to it that you have an early discharge so that you don't have to be reminded of this experience." 25.The nurse is planning the client assignments. Which is the least appropriate assignment for the unlicensed assistive personnel (UAP)?