Past Nclex Questions 9

Past Nclex Questions 9 1.211.The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?A.The client’s use of herbs.B.The client’s current pain level.C.The client’s sexual orientation.D.The client’s ability to care for self.

2.212.Which information should the nurse teach the client regarding sports injuries?A.Apply heat intermittently for the first 48 hours.B.An injury is not serious if the extremity can be moved.C.Only return to health-care provider if the foot becomes cold.D.Keep the injury immobilized and elevated for 24 to 48 hours.

3.213.Which assessment technique should the nurse use to assess the client’s optic nerve?A.Have the client identify different smells.B.Have the client discriminate between sugar and salt.C.Have the client read the Snellen chart.D.Have the client say “ah” to assess the rise of the uvula.

4.214.Which referral would be most important for the client with permanent hearing loss?A.Aural rehabilitation.B.Speech therapist.

C.Social worker.D.Vocational rehabilitation.

5.215.Which instruction should the nurse discuss with the female client with viral conjunctivitis?A.Contact the HCP if pain occurs.B.Do not share towels or linens.C.Apply warm compresses to the eyes.D.Apply makeup very lightly.

6.216.The client is two (2) hours postoperative right-ear mastoidectomy. Which assessment data should be reported to the health-care provider?A.Complaints of aural fullness.B.Hearing loss in the affected ear.C.No vertigo.D.Facial drooping.

7.217.Which behavior by the male client would make the nurse suspect the client has a hearing loss? Select all that apply.A.The client reports hearing voices in his head.B.The client becomes irritable very easily.C.The client has difficulty making decisions.D.The client’s wife reports that he ignores her.E.The client does not dominate a conversation.

8.218.The client with cataracts who has had intraocular lens implants is being discharged from the day surgery department.

Which discharge instructions should the nurse discuss with the client?A.Do not push or pull objects heavier than 50 pounds.B.Lie on the affected eye with two pillows at night.C.Wear glasses or metal eye shields at all times.D.Bend and stoop carefully for the rest of your life.

9.219.The nurse is assessing the client’s sensory system. Which result would indicate an abnormal stereognosis test?A.The client is unable to identify which way the toe is being moved.B.The client cannot discriminate between sharp and dull objects.C.The toes contract and draw together when the sole of the foot is stroked.D.The client is unable to identify a key in the hand with both eyes closed.

10.220.Which statement by the daughter of an 80-year-old female client who lives alone would warrant immediate intervention by the nurse?A.“I put a night light in my mother’s bedroom.” B.“There are smoke alarms in every room.” C.“I changed my mother’s furniture around.” D.“I got my mother large-print books.” 11.221.The 72-year-old client tells the nurse that food does not taste good anymore and that he has lost a little weight. Which information should the nurse discuss with the client?A.Suggest using extra seasoning when cooking.

B.Instruct the client to keep a seven (7)-day food diary.C.Refer the client to a dietitian immediately.D.Recommend eating three meals a day.

12.222.In children with meningitis, there is the potential for many complications occurring from damage to the nervous system.Which of the following is/are the most common, nonlethal complication(s)?A.Cranial nerve deficits.B.Epilepsy.C.Bleeding intracranially.D.Cerebral palsy.

13.223.A child is admitted to the nurse’s unit with a suspected diagnosis of meningitis. The nurse should tell the parent which of the following?A.Antibiotics are not initiated until the cerebrospinal fluid cultures are definitive for specificity to prevent resistance.B.Antibiotics are useless against viral infections, so they are not used for meningitis.C.Antibiotics should be started before the cerebrospinal fluid cultures are definitive because culture results may take up to 3 days.D.Antibiotic initiation is based on the age, signs, and symptoms of the patient, not on the causative agent.

14.224.A child arrives at the pediatric emergency department, having had a generalized seizure at home and a recent sore throat and mild fever. During the nurse’s assessment, the child begins to have generalized tonic-clonic seizure activity. The drug of choice