NCLEX Practice Questions NCLEX App

NCLEX Practice Questions (NCLEX App) Leave the first rating Students also studied Terms in this set (31) Science MedicineNursing Save NCLEX- tracheo-esophageal malfor...14 terms parrishjpPreview OB NCLEX Questions 60 terms smashpeas123 Preview Med Surg Gastrointestinal NCLEX Q...86 terms Jasmine_Lawson4 Preview NCLEX 110 term kan The nurse cares for a newborn with esophageal atresia and a tracheoesophageal fistula. The nurse assess for which symptoms that are characteristic of this condition?(select all that apply)

• vomiting and diarrhea
• hemoptysis
• excessive drooling
• frequent cough
• cyanosis

c,d,e A nurse assists a health care provider with the application of a cast to a client with a fractured ankle. Which instruction takes priority?

• elevate the affected ankle above the heart for 24 hours
• weight-bearing instructions are given during a follow-

up appt

• never scratch under the cast with a foreign object
• report numbness in the toes or leg to the health care

provider immediately d A client is taking paroxetine for 8 months informs a nurse he is going to discontinue the medication. How does the nurse respond initially?

• notify the healthcare provider of the decision
• teach not to abruptly stop the medication
• provide a list of mental health resources
• support the client's health care decision

b

A nurse cares for a client who has advanced lung cancer and is on the transplant list. The healthcare provider discusses the client's situation with the nurse, stating the client will likely continue smoking even after receiving a transplant. How does the nurse advocate for the client?

• if the smoking continues, the client should not be

considered for receiving a transplant

• the client cannot control the smoking as it is an

addiction that has lasted more than ten years

• cessation of smoking may be a goal for the client, but it

will require education and support

• our best hope for the client is that there will be a

decrease in daily smoking habits c A nurse manager makes rounds on a busy med-surg unit.Which info reported by a client requires the manager to follow-up with the nurse providing care?

• my nurse said I called on the bell too many times for

help and need to do more things on my own

• my nurse told me how the doctor plans to change my

medication since I'm not any better

• my nurse talked to me about the pros and cons related

to each of the care options my provider has presented

• my nurse sat with me and let me talk about my

concerns related to this new diagnosis for 30 mins a The nurse cares for a pale, dyspneic toddler-age client in the ED. The initial assessment reveals extremity edema, rales, tachycardia, tachypnea, and o2 sat of 80%. What priority intervention does the nurse perform?

• monitor cardiac rhythm
• administer oxygen as prescribed
• administer diuretic as prescribed
• check arterial blood gas value

b A client scheduled for a colon resection with colostomy placement asks, "What will my ostomy look like, and how many days will I have it?" The nurse consults which member of the health care team to best answer the client's questions?

• enterostomal nurse
• social worker
• charge nurse
• case manager

a The nurse cares for a client with pericarditis. The nurse monitors for which clinical sign of a complication?

• muffled heart sounds
• weak, thready pulse
• bradycardia
• hypertension

a

A nurse cares for a client using crutches to ambulate.What symptom will the nurse advise the client as most important to report to the health care provider?

• forearm muscle weakness
• pain on the pads of the palms
• sore muscles in upper arms
• leg muscle spasms

a A client is prescribed warfarin for the prevention of complications from atrial fibrillation. Which lab result does the nurse report to the health care provider as an indicator of effective treatment?

• aPTT = 70 secs
• INR = 2.5
• PT = 25 secs
• TT < 17 secs

b A client with antisocial personality disorder says to the charge nurse "I want jane to be my nurse today". How does the charge nurse respond?

• Can you tell me why you would like Jane to work with

you?

• I will see what I can do to have Jane assigned to your

care

• We follow the set guidelines in creating the nursing

assignments

• You are trying to manipulate this situation and will not

be allowed c A nurse cares for a conscious school-aged client choking on an aspirated foreign object. The client's cough is weak, and the object cannot be seen in the client's mouth.Which emergency measure does the nurse take?

• abdominal thrusts
• blind finger sweep
• back blows
• chest compressions

a A nurse cares for a client who received a barium enema 24 hours ago. Which finding does the nurse report to the health care provider?

• chalky white stools
• BP of 91/55
• loose stools
• client report of fatigue

b A client receiving IV heparin for a pulmonary embolism has an aPTT of 60 seconds. Which action does the nurse take?

• continues the infusion as prescribed
• administers protamine sulfate
• stops the infusion for 1 hour
• notifies the healthcare provider

a

The nurse cares for a client with severe pain and a RR of

• Which acid-base imbalance does the nurse expect to

find with sustained tachypnea?

• respiratory acidosis
• respiratory alkalosis
• metabolic acidosis
• metabolic alkalosis

b The school nurse responds to a phone call from the parent of a preschool-age client with a temp of 102.4. The parent asks whether to give the child aspirin. The nurse responds with which statement?

• No, aspirin can cause severe adrenal dysfunction in

children

• Yes, aspirin will help decrease the fever
• No, aspirin can be harmful. There are other options
• Yes, aspirin is safe for fever if there are no other

symptoms c The nurse provides discharge instructions to the caregivers of an infant client diagnosed with aortic stenosis. Which info about the possible developmental effects of CHD does the nurse include?

• infants with CHD have an increased risk of

developmental delays

• average intelligence is lower than children without

CHD

• cognitive deficits only occur if the child with CHD is

premature

• cerebral palsy is a common comorbidity

a An HCP plans to wean a client off a ventilator and asks the nurse for data regarding the client's readiness to wean. Which data does the nurse provide to the HCP?(select all that apply)

• ABG results
• oxygen requirements
• LOC
• echocardiogram
• WBC

a,b,c A client's friends calls asking if the client is still being treated on the unit. What is the best response from the nurse regarding the client?

• I am not permitted to give you any info
• I will check the client's release of information
• The client went home from here this morning
• Let me look further into this matter for you

d