Module 9 NCLEX Questions

Module 9 NCLEX Questions 1.In the prenatal clinic, the nurse is gathering data from a new client for the health history information. Which action is the best way for the nurse to elicit correct responses to questions that refer to sexually transmitted infections?A.Use specific closed-ended questions.B.Omit this area of questions because they are highly personal.C.Establish a therapeutic relationship between the nurse and pregnant client.D.Apologize for the embarrassment that these questions may cause the client.

2.A pregnant client is positive for the human immunodeficiency virus (HIV). The nurse educates the client and determines that there is a need for further teaching if the client makes which statement?A."I can hold and diaper my newborn baby." B."Breastfeeding my newborn will be the best option for my baby." C."It may be as long as 2 years before I will know if my baby is HIV positive." D."If I take the prescribed medications for HIV, it is possible that I may not transfer this disease to my newborn." 3.The nurse is gathering data from a 16-year-old pregnant client during her initial prenatal clinic visit. The client is beginning week 18 of her first pregnancy. Which client statement indicates a need for further investigation?A."I don't like my figure anymore. My clothes are all too tight." B."I don't like my breasts anymore. These silver lines are ugly." C."I don't like my stomach anymore. That brown line is disgusting." D."I don't like my face anymore. I always look like I have been crying." 4.The nurse has provided instructions to a client scheduled for a mammography regarding the procedure. Which statement by the client indicates an understanding of the procedure?A."I cannot eat on the day of the test." B."The test takes about 1 hour and is painless." C."I will need to wear a sports bra for the procedure." D."I should not wear deodorant on the day of the test." 5.A client returns to the nursing unit after an above-knee amputation of the right leg. In which position should the nurse place the client?A.Prone with the head on a pillow B.With the foot of the bed elevated C.Reverse Trendelenburg’s position D.With the residual limb flat on the bed 6.The nurse is assigned to assist in caring for a client who has had surgery and has pneumatic sequential compression devices (SCDs) in place. The client asks about these devices. The nurse instructs the client that SCDs are used for which purpose?A.Promoting venous return to the heart B.Preventing edema in the lower extremities C.Improving oxygenation to the lower extremities D.Decreasing the size of any thrombus that formed during surgery 7.The nurse is reviewing the laboratory results of a client scheduled for surgery.Which laboratory result should indicate to the nurse that the surgery might be postponed?A.Sodium, 140 mEq/L B.Hemoglobin, 8.4 g/dL C.Platelets, 200,000 mm 3

Module 9 NCLEX Questions D.Serum creatinine, 0.9 mg/dL 8.A client is seen in the urgent care center for complaints of chest pain 2 days ago.Since that time, the client has not been feeling well and fatigues easily. The nurse reviews the results of the laboratory tests. An elevation of which laboratory test indicates a myocardial infarction occurred at the time of chest pain 2 days ago?A.Myoglobin B.Troponin I C.Total Creatine Kinase (CK) D.B-Type Natriuretic Peptides (BNP) 9.A client is suspected of having a myocardial infarction. The nurse should expect elevations in which laboratory values to support the diagnosis? Select all that apply.A.Troponin I B.Thyroid stimulating hormone (TSH) C.Creatinine phosphokinase MB (CPK-BB) D.Creatinine phosphokinase MB (CPK-MB) E.Creatinine phosphokinase MB (CPK-MM) 10.A client who takes theophylline for chronic obstructive pulmonary disease (COPD) is seen in the urgent care center for respiratory distress. Just before initiating treatment for the respiratory distress, a sample for a theophylline level is drawn.The nurse notes the therapeutic range for the serum theophylline level is 10 to 20 mcg/mL and determines that the client may not be taking the medication as prescribed if which result is obtained?A.6 mcg/mL B.11 mcg/mL C.15 mcg/mL D.25 mcg/mL 11.The nurse is reviewing the complete blood count (CBC) laboratory results of a female adult client suspected of having iron deficiency anemia. The nurse reviews the results and determines that which results are consistent with this diagnosis? Select all that apply.A.Hemoglobin (Hgb) 8.8 g/Dl B.Hematocrit (Hct) 30% C.Platelet count 300,000 mm 3 D.White blood count (WBC) 7500 mm 3 E.Decreased mean corpuscular volume (MCV) 66 fL 12.The nurse is reinforcing instructions regarding cardiopulmonary resuscitation (CPR) to a group of nursing students. The nurse tells the group that when performing chest compressions on adults, the sternum should be depressed to at least which depth?A.1 inch B.2 inches C.One third to one half the depth of the chest D.Deep enough to make a hand impression 13.The nurse suspects that the client has a pulmonary embolism when the client exhibits which signs and symptoms?A.Dyspnea, tachypnea, and tachycardia B.Dry cough, shortness of breath, and back pain C.Edema, skin tenderness, and increased skin temperature

Module 9 NCLEX Questions D.Hematemesis, chest pain, and a feeling of impending doom 14.The nurse is assisting in administering beractant to a premature infant who has respiratory distress syndrome. The nurse understands that the medication should be administered by which route?A.Intradermal B.Intratracheal C.Subcutaneous D.Intramuscular 15.The nurse is checking the capillary refill of a child with a cast applied to the left arm. The nurse compresses the nail bed of a finger, and it returns to its original color in 2 seconds. Which action should be taken by the nurse?A.Document the findings B.Notify the RN C.Prepare the child for bivalving the cast D.Elevate the extremity and recheck the capillary refill immediately.

16.A child suspected of having sickle cell disease (SCD) is seen in a clinic, and laboratory studies are performed. Which laboratory value is likely to be increased in sickle cell disease?A.Platelet count B.Hematocrit level C.Hemoglobin level D.Reticulocyte count 17.The pediatric nursing instructor asks a nursing student to describe the cause of the symptoms that occur in sickle cell disease. Which is the correct response by the nursing student?A."Bone marrow depression occurs because of the development of sickled cells." B."Sickled cells increase the blood flow through the body and cause a great deal of pain." C."The sickled cells mix with the unsickled cells and cause the immune system to become depressed." D."Sickled cells are unable to flow easily through the microvasculature, and their clumping obstructs blood flow." 18.The nursing student is presenting a clinical conference and discusses the causative factors related to beta-thalassemia. Which group is at greatest risk of developing this disorder?A.A child of Mexican descent B.A child Mediterranean descent C.A child whose intake of iron is extremely poor D.A child breast-fed by a mother with chronic anemia 19.The nurse is assisting in providing surgical instructions to a preoperative client who will have abdominal surgery. Which instructions would be appropriate to include in the preoperative plan of care? Select all that apply.A.Wound Care B.Personal Hygiene C.Activity Restrictions D.Frequent assessment of vital signs E.Coughing and deep breathing exercises F.Pain monitoring and medications to relieve pain

Module 9 NCLEX Questions 20.A nursing instructor asks a student nurse assigned to care for an infant with a diagnosis of tricuspid atresia to describe the infant's disorder. Which statement by the student indicates the need to further research this disorder?A."The infant has a single vessel that overrides both ventricles of the heart." B."This disorder causes frequent episodes of hypercyanotic spells." C."The disorder means there is no communication from the right atrium to the right ventricle of the heart." D."The disorder means there is no communication from the systemic and pulmonary circulations of the heart." 21.Prostaglandin E1 is prescribed for a child with transposition of the great arteries.The parent of the child asks the nurse why the child needs the medication. The nurse correctly responds that the purpose of this medication is which explanation?A.Maintains an adequate hormone level B.Prevents hypercyanotic (blue or tet) spells C.Maintains the position of the great arteries D.Provides adequate oxygen saturation and maintains cardiac output 22.The nurse is caring for a child with a suspected diagnosis of rheumatic fever (RF).The nurse reviews the laboratory results. Which laboratory study should assist in confirming the diagnosis of RF?A.Immunoglobulin B.Red Blood Cell Count C.Antistreptolysin O Titer D.White Blood Cell Count 23.A child is brought to the emergency department for treatment of an acute asthma attack. The nurse prepares to administer which medication first?A.A B2-Agonist B.Oral Corticosteroids C.A Leukotriene Modifier D.A Nonsteroidal Anti-Inflammatory 24.A nursing student is asked to discuss sudden infant death syndrome (SIDS) at the clinical conference being held at the end of the clinical day. The student plans to include which information in the discussion during the conference?A.SIDS usually occurs during sleep and is more common in girls.B.SIDS usually occurs during sleep and is more common in premature infants.C.SIDS usually occurs during sleep and is more common in high-birth-weight infants.D.SIDS usually occurs during sleep and most frequently occurs between 8 and 10 months of age.

25.The nurse is checking for the presence of cyanosis in a dark-skinned client. Which body area should provide the best information?A.Sacrum B.Earlobes C.Back of the Hands D.Palms of the Hands 26.The nurse is assigned to assist in caring for a client with frostbite of the toes.Which should the nurse anticipate to be prescribed for this condition?A.Rapid and continual rewarming of the toes when flushing occurs B.Rapid and continual rewarming of the toes in cold water for 45 minutes