Past Nclex Questions 5

Past Nclex Questions 5 106.The nurse counsels a client diagnosed with iron deficiency anemia.The nurse determines that teaching is effective if the client selects which of the following menus?

1.Roast beef, brown rice, green beans, carrot and raisin salad, and milk.

107.The nurse supervises care of a client who is receiving enteral feeding via a nasogastric tube. The nurse determines that care is appropriate if which of the following is observed? Select all that

apply:

2.The nursing assistant elevates the head of the client’s bed 30 degrees.

3.The nursing assistant warms the formula to room temperature.

6.The nursing assistant clamps the proximal end of the feeding tube at the end of the feeding.

108.The nurse performs a physical assessment of a newborn. It is MOST important for the nurse to report which of the following findings?

1.Head circumference of 40 cm.

109.The nurse in the pediatric clinic performs a physical assessment of a 13-year-old boy. Which of the following findings by the nurse requires an immediate intervention? This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:35:24 GMT -05:00

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4.The child’s scrotum appears enlarged and red. The nurse palpates a thickened and swollen spermatic cord.

110.The nurse on the medical/surgical unit admits a client with a diagnosis of cerebrovascular accident (CVA.. The nursing assessment of the client’s neurological status should include which of the following?

• Ask the client to grasp and squeeze two fingers on each of the

nurse’s hands.

• Determine client’s orientation to person, place, and time.
• Assess the client’s pupillary response.

111.A nurse is caring for a client with a diagnosis of catatonic schizophrenia. What clinical finding does the nurse expect the client to exhibit?C.Immobile posturing 112.A client with type 1 diabetes is diagnosed with diabetic ketoacidosis and initially treated with intravenous fluids followed by an IV bolus of regular insulin. The nurse anticipates that the

practitioner will prescribe a continuous infusion of:

B.Novolin R insulin 113.A client is admitted to the hospital with the diagnosis of a right- sided brain attack (CVA.. The client is right handed. Which task will be most difficult for this client? This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:35:24 GMT -05:00

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D.Dressing every morning

• The nurse understands that which are characteristics of anthrax?

Select all that apply.B.Cutaneous lesions become a black eschar C.Gastrointestinal anthrax causes bloody diarrhea D.Flulike symptoms are a sign of pulmonary anthrax E.Person-to-person transmission of inhalation disease does not occur F.A person can become infected through skin contact, ingestion, or inhalation of the bacillus 115.The nurse is caring for a client who religious background is Seventh Day Adventist (Church of GoD.. Which nursing action(s) are most appropriate in terms of providing for the dietary needs for this client? Select all that apply.C.Removing coffee from the breakfast tray.D.Ensuring that there is no pork on the dinner tray.E.Ensuring that meals are delivered in a timely fashion.

116.The nurse prepares to administer digoxin (Lanoxin) to a newborn with a diagnosis of heart failure and notes that the apical rate is 140 beats per minute. Which nursing action is appropriate?B.Administer the digoxin 117.The nurse is conduction a respiratory assessment and is determining respirations per minute. The nurse understands that This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:35:24 GMT -05:00

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which factor(s) generally affect the character of respirations?Select all that apply.A.Anxiety B.Exercise C.Smoking D.Acute pain E.Body position 118.The nurse understands that which are judgmental statement(s)?Select all that apply.A.“I don’t think you need to do that.” E.“I’m not sure that’s what is best for you.” 119.The nurse is planning to teach a client about home modifications to reduce the risk of falls. Which recommendation(s) should be included in the teaching plan? Select all that apply.B.Use nightlights during nighttime C.Place handrails in bathtubs and showers D.Check staircase railings for secureness and sturdiness 120.A client is diagnosed with myasthenia gravis and the nurse needs to administer a medication to this client. Number the actions in the options in order of priority with regard to how the nurse should perform the actions. (Number 1 is the first action to be performed and number 6 is the last action.)

• Check the medication prescription This study source was downloaded by 100000823250788 from CourseHero.com on 05-04-2021 22:35:24 GMT -05:00

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