NCLEX EXAM PREVIEW - ScienceMedicineNursing bailyn124 Save 75 Free N...

Nclex-RN practice test ScienceMedicineNursing bailyn124 Save 75 Free NCLEX Questions - c/o Brilli...75 terms carey47Preview

NCLEX EXAM PREVIEW

110 terms kandykat1012Preview NCLEX practice test part2 50 terms bailyn124Preview NCLEX 133 term Fam The nurse is interviewing a client who is being treated for obsessive-compulsive disorder (OCD). Which of the following is the most important question the nurse should ask this client?

• "Do you find yourself forgetting simple things?"
• "Do you find it hard to stay on a task?"
• "Do you have trouble controlling upsetting thoughts?"
• "Do you experience feelings of panic in a closed area?"

3.Which of the following actions by the nurse would be considered negligence?

• Obtaining a Guthrie blood test on a 4-day-old infant
• Massaging lotion on the abdomen of a 3-year-old diagnosed with Wilms' tumor
• Instructing a 5-year-old asthmatic to blow on a pinwheel
• Playing kickball with a 10-year-old with juvenile arthritis (JA)

2.The nurse on a postpartum unit is preparing 4 clients for discharge. It would be MOST important for the nurse to refer which of the following clients for home care?

• A 15-year-old primipara who delivered 7-lb. male 2 days ago
• An 18-year-old multipara who delivered a 9-lb. female by cesarean section 2 days ago
• A 20-year-old multipara who delivered 1 day ago and is reporting cramping
• A 22-year-old who delivered by cesarean section and is reporting burning on urination

4.

A client is telling the nurse about his perception of his thought patterns. Which of the following statements by the client would validate the diagnosis of schizophrenia

• "I can't get the same thoughts out of my head."
• "I know I sometimes feel on top of the world, then suddenly down."
• "Sometimes I look up and wonder where I am."
• "It's clear that this is an alien laboratory and I am in charge"

4.A nursing team consists of an RN, an LPN/LVN, and an NAP. The nurse should assign which of the following clients to the LPN/LVN?

• A 72-year-old client with diabetes who requires a dressing change for a stasis ulcer
• A 42-year-old client with cancer of the bone reporting pain
• A 55-year-old client with terminal cancer being transferred to hospice home care
• A 23-year-old client with a fracture of the right leg who asks to use the urinal

1.To determine the structural relationship of one hospital department with another, the nurse should consult which of the following?

• Organizational chart
• Job descriptions
• Personnel policies
• Policies and procedures manual

1.A client reports pain in his right lower extremity. The physician orders codeine60 mg and aspirin grains X PO every 4 hours, as needed for pain.Each codeine tablet contains 15 mg of codeine. Each aspirin tablet contains 325 mg of aspirin. Which of the following should the nurse administer?

• 2 codeine tablets and 4 aspirin tablets
• 4 codeine tablets and 3 aspirin tablets
• 4 codeine tablets and 2 aspirin tablets
• 3 codeine tablets and 3 aspirin tablets

3.The nurse is leading an in service about management issues. The nurse would intervene if another nurse made which of the following statements?(1) "It is my responsibility to ensure that the consent form has been signed and attached to the client's chart prior to surgery."- describes the nurse's responsibility (2) "It is my responsibility to witness the signature of the client before surgery is performed." (3) "It is my responsibility to provide a detailed description of the surgery." (4) "It is my responsibility to answer questions that the client may have prior to surgery." (3)

A nurse in the outpatient clinic evaluates the Mantoux test of a client whose history indicates that she has been treated during the past year for an AIDS- related infection. The nurse should document that there was a positive reaction if there is an area of induration measuring which of the following?

• 1 mm
• 3 mm
• 5 mm
• 7 mm

4.The in the newborn nursery has just received report. Which of the following infants should the nurse see first?1) A 2-day old infant who is lying quietly alert with a heart rate of 185 2) A 1-day-old infant who is crying and has a bulging anterior fontanel 3) A 12-hour-old infant who is being held, with respirations that are 45 breaths per minute and irregular 4) A 5-hour-old infant who is sleeping and whose hands and feet are blue bilaterally 1) While inserting a nasogastric tube, the nurse should use which of the following protective measures?

• Gloves, gown, goggles, and surgical cap
• Sterile gloves, mask, plastic bags, and gown
• Gloves, gown, mask, and googles
• Double gloves, goggles, mask, and surgical cap

3.The nurse is caring for clients in the outpatient clinic. Which of the following phone calls should the nurse return FIRST?

• A client with hepatitis A who states, "My arms and legs are itching."
• A client with a cast on the right leg who states, "I have a funny feeling in my right leg."
• A client with osteomyelitis of the spine who states, "I am so nauseous that I can't eat."
• A client with rheumatoid arthritis who states, " I am having trouble sleeping."

2.The nursing team consists of 1 RN, 2 LPNs/LVNs, and 3 NAPs. The RN should care for which of the following clients?

• A client with a chest tube who is ambulating in the hall
• A client with a colostomy who requires assistance with a colostomy irrigation
• A client with a right-sided cerebrovascular accident (CVA) who requires assistance with bathing
• A client who is refusing medication to treat cancer of the colon

4.The home care nurse is visiting a client during the interim phase of hepatitis of unknown etiology. The nurse would be most concerned if the client made which of the following statements?

• "I must not share eating utensils with my family."
• "I must use my own bath towel."
• "I'm glad that my husband and I can continue to have intimate relations."
• "I must eat small, frequent feedings."

3.

A nurse plans for care of a client with anemia who is reporting weakness. Which of the following tasks should the nurse assign to nursing assistive personnel?

• Listening to the clients breath sounds
• Setting up the clients lunch tray
• Obtaining a diet history
• Instructing the client on how to balance rest and activity

2.The nurse is caring for clients on the surgical floor and has just received report from the previous shift. Which of the following clients should the nurse see FIRST?

• A 35-year-old admitted 3 hours ago with a gunshot wound; 1.5 cm area of dark drainage noted on the dressing
• A43-year-old who had a mastectomy 2 days ago; 23 mL of serosanguinous fluid noted in the Jackson-Pratt drain
• A 59-year-old with a collapsed lung due to an accident; no drainage noted in the previous 8 hours
• A 62-year-old who had an abdominal perineal resection 3 days ago; client reports chills

4.Which of the following actions by the nurse would certainly be considered negligence?

• Inserting a 16 Fr nasogastric tube and aspirating 15 mL of gastric contents
• Administering meperidine IM to a client prior to using the incentive spirometer
• Turning and repositioning a client once every 8 hours post-abdominal surgery
• Initially administering blood at 5mL per minute for 15 minutes

3.A 1-day-old newborn diagnosed with intrauterine growth retardation is observed by the nurse to be restless, irritable, and first-sucking, and having a high-pitched, shrill cry. Based on this data, which of the following actions should the nurse take FIRST?

• Massage the infant's back.
• Tightly swaddle the infant in a flexed position
• Schedule feeding times every 3 to 4 hours.
• Encourage eye contact with the infant during feeding

2.The nurse visits a neighbor who is at 20 weeks' gestation. The neighbor reports nausea, headache, and blurred vision. The nurse notes that the neighbor appears nervous, is diaphoretic, and is experiencing tremors. It would be MOST important for the nurse to ask which of the following questions?

• "Are you having menstrual-like cramps?"
• "When did you last eat or drink?"
• "Have you been diagnosed with diabetes?"
• "Have you been lying on the couch?"

2.