Module 8 NCLEX Questions

Module 8 NCLEX Questions

Nursing Fundamentals Module 8 NCLEX Questions Fall 2020

• The nurse is preparing to administer digoxin, 0.125 mg orally, to a client with

heart failure. Which vital sign is most important for the nurse to check before administering the medication?

• Heart Rate
• Temperature
• Respirations
• Blood Pressure
• The nurse is performing nasotracheal suctioning of a client. The nurse interprets

that the client is adequately tolerating the procedure if which observation is made?

• Skin color becomes cyanotic.
• Secretions are becoming bloody.
• Coughing occurs with suctioning.
• Heart rate decreases from 78 beats/minute to 54 beats/minute.
• The nursing student is asked to describe the correct steps for performing adult

cardiopulmonary resuscitation (CPR). Arrange the steps of adult CPR in the order of priority. All options must be used.

• Determine unconsciousness by shaking the client and asking “Are you ok?”
• Perform chest compression
• Open the client’s airway
• Initiate breathing
• The nurse monitors a postoperative client who had abdominal surgery for signs

of complications. Which signs/symptoms should the nurse determine to be indicative of a potential complication? Select all that apply.

• Increasing restlessness
• A temperature of 98.9° F (37.7° C)

Module 8 NCLEX Questions

• Unrelieved pain despite receiving analgesics
• Faint bowel sounds heard in all four quadrants
• A blood pressure of 114/66 mm Hg with a pulse of 96 beats per minute
• The nurse provides medication instructions to an older hypertensive client who is

taking 20 mg of lisinopril orally daily. The nurse evaluates the need for further teaching when the client makes which statement?

• "I can skip a dose once a week."
• "I need to change my position slowly."
• "I take the pill after breakfast each day."
• "If I get a bad headache, I should call my health care provider immediately."
• The nurse is caring for an older client who is on bed rest. The nurse plans which

intervention to prevent respiratory complications?

• Decreasing oral fluid intake
• Monitoring the vital signs every shift
• Changing the client's position every 2 hours
• Instructing the client to bear down every hour and to hold his or her breath
• The nurse assists with preparing a nursing care plan for a child who has Reye's

syndrome. Which is the priority nursing intervention?

• Monitoring the output
• Checking pupillary responses
• Changing the body position every 2 hours
• Providing a quiet atmosphere with dimmed lights
• The nurse is initiating seizure precautions for a child being admitted to the

nursing unit. Which items are essential for the nurse to place at the bedside?

• Oxygen and a tongue depressor
• A suction apparatus and oxygen
• An airway and a tracheotomy set
• An emergency cart and an oxygen mask
• The nurse is caring for a client after an autograft of a burn wound on the right

knee. Which position should the nurse anticipate being prescribed for the client?

• Placing the affected leg flat
• Elevating and immobilizing the affected leg

Module 8 NCLEX Questions

• Immobilizing the client in a dependent position
• Placing the affected leg in a dependent position
• The nurse is caring for a client after a mastectomy. Which nursing interventions

should assist with preventing lymphedema of the affected arm? Select all that apply.

• Placing cool compresses on the affected arm
• Elevating the affected arm on a pillow above heart level
• Taking no blood pressure measurements in the affected arm
• Avoiding arm exercises during the immediate postoperative period
• Maintaining an intravenous (IV) insertion site below the antecubital area on

the affected side

• A client with cancer is receiving chemotherapy and develops thrombocytopenia.

Which intervention is a priority in the nursing plan of care?

• Monitor the client for bleeding.
• Monitor the client's temperature.
• Ambulate the client three times daily.
• Monitor the client for pathological fractures.
• Megestrol acetate, an antineoplastic medication, is prescribed for the client with

metastatic endometrial carcinoma. The nurse reviews the client's history and contacts the registered nurse if which diagnosis is documented in the client's history?

• Gout
• Asthma
• Thrombophlebitis
• Myocardial Infarction
• The nurse is monitoring the laboratory results of a female client receiving an

antineoplastic medication by the intravenous (IV) route. The nurse plans to initiate bleeding precautions if which laboratory result is noted?

• A clotting time of 10 minutes
• A hemoglobin of 11 g/dL (110 mmol/L)
• A platelet count of 40,000 mm

3

(40 × 10

9 /L)

• A white blood cell (WBC) count of 3,000 mm

3

(3 × 10

9 /L)

Module 8 NCLEX Questions

• The client with non–Hodgkin's lymphoma is receiving daunorubicin. Which

sign/symptom should indicate to the nurse that the client is experiencing a toxic effect related to the medication?

• Fever
• Diarrhea
• Complaints of nausea and vomiting
• Crackle on auscultation of the lungs
• Which nursing action would be appropriate to implement when a client has a

diagnosis of pheochromocytoma?

• Weigh the client
• Test the client’s urine for glucose
• Monitor the client’s blood pressure
• Palpate the client’s skin to determine warmth
• The nurse is caring for a client with pheochromocytoma. Which data are

indicative of a potential complication associated with this disorder?

• A urinary output of 50 mL/hr
• A congestion heard on auscultation of the lungs
• A blood urea nitrogen (BUN) level of 20 mg/dL
• The nurse is caring for a client after a thyroidectomy and monitoring for signs of

thyroid storm. The nurse determines that which sign/symptom is indicative that a thyroid storm may be occurring?

• Constipation
• Temperature of 96.6F
• Blood pressure of 80/60 mm Hg
• Heart rate of 44 beats per minute
• A client with acquired immunodeficiency syndrome (AIDS) has histoplasmosis.

Which sign/symptom should the nurse expect the client to experience?

• Dyspnea
• Headache
• Weight gain
• Hypothermia