NCLEX Practice Test 2

NCLEX Practice Test 2 1.A patient taking Fluoxetine Hcl (Prozac) asks the nurse when the medication will start to work.The patient started this medication two weeks ago. The nurse’s response is CORRECT if she

states:

a.“Prozac needs three months to work, so you will need to give it more time.” b.“In another two weeks, you should start to feel a difference in your mood.” c.“It should be another day or two. Then you will feel much better.” d.“Prozac works as soon as you take it and should be working now.” B Prozac needs four weeks for the full effect of the medication.

2.The home health nurse visits a patient with HIV who lives alone in her apartment. Which of the following observations the nurse makes while in the patient’s home is MOST concerning?a.The patient has a bowl of fake fruit on the table.b.The patient has a cat who purrs loudly.c.The dishwasher is broken and the patient complains that she has low water pressure throughout the whole apartment.d.There is an open container of food in the refrigerator.C The open container of food in the refrigerator needs to be addressed, but the cat is more concerning.The cat’s feces could contain toxoplasmosis, an organism dangerous to immunocompromised patients.

3.A nurse cares for a patient who cannot turn by using an overhead lift. The nurse knows that which of the following is the MOST important actions to follow in terms of safety?a.Allow the patient to hook themselves up to the sling so that they feel involved in their care.b.When using the lift, raise the patient above the bed before laterally positioning the lift over the intended chair.c.Ensure the sling is removed from the patient after they are seated in the chair.d.Tell the patient to rock back and forth to propel themselves.B Making sure the patient is safely encased in the sling BEFORE raising them higher above the bed or laterally is most important for patient safety. Patients do not know how to hook themselves up in slings and it is dangerous to rock back and forth. You should leave the sling in the chair in order to move the patient back to bed later.

4.The nursing team includes two RNs, one LPN, a nursing assistant, and a nurse reassigned from the postpartum unit. The nurse should consider the assignments appropriate if the reassigned nurse cares for which of the following patients?a.A client diagnosed with a head injury and a Glasgow coma scale of 5.b.A client diagnosed with COPD who displays Cheyne-Stokes respirations..c.A client with a spinal cord injury requiring assistance with meals.d.A client diagnosed with a myocardial infarction complaining of burning on urination.D The reassigned nurse can care for the patient with the UTI. Remember, reassigned nurses need stable patients.

5.The nurse works at an outpatient health center and receives a call from an adolescent girl who was recently prescribed the birth control pill. She describes “an awful leg cramp that turned the skin red.” Which of the following statements, if made by the nurse to the patient, is CORRECT?a.“Do you play any sports where you could have injured yourself?” b.“Has this happened before?” c.“We’ll need you to come in to the clinic to be evaluated immediately.” d.“This is a normal side effect with the pill and should go away after the first month.” C This is a most-feared complication of birth control pills: a DVT. The girl needs immediate evaluation and treatment.

6.The nurse cares for a patient with AIDS who has acquired jiroveci pneumonia. Which of the following precautions levels is appropriate for this patient?a.Airborne precautions.b.Contact precautions.c.Standard precautions.d.Droplet precautions.C Jiroveci pneumonia is an opportunistic infection that only occurs in immunocompromised patients.Anyone with normal immune system function cannot “catch” this infection.

7.The nurse in the outpatient care clinic cares for a client diagnosed with heart failure. Which of the following orders, if written by the physician, should the nurse question?

a.“Administer Lactated Ringers solution IV at a rate of 50mL/hr.” b.“Administer Potassium 40mEq tab once daily PO.” c.“Administer Lasix 40mg twice daily PO.” d.“Administer 0.9% NS solution IV at a rate of 125mL/hr.” D The rate listed is too high for a heart failure patient, who cannot handle so much fluid on their cardiac system.

8.An 8-year-old patient is admitted with a suspected fractured of the ulna. An x-ray is taken, and

the nurse correctly identifies this type of fracture as:

 a.Transverse.b.Greenstick.c.Complete.d.Open.B