Font size
WorksheetsNCLEX review E1
Total questions: 57
Worksheet time: 1hrs 20mins
A nurse is instructing a client on the use of an incentive spirometer. Which statement by the client indicates understanding?
I will place the adapter on my finger to read my blood oxygen saturation level
I will lie on my back with my knees bent
I will rest my hand over my abdomen
I will take in a deep breath and hold it before exhaling
A nurse is caring for a client who just experienced a generalized seizure. What action should the nurse preform first?
Keep the client in a side-lying position
Document the duration of the seizure
Reorient the client to the environment
Provide client hygiene
When should a nurse notify the rapid response team?
Patient who has a pressure injury of the right heel whose blood glucose is 300 mg/dl
Patient who reports right calf pain and shortness of breath
Patient who has blood on a pressure dressing in the femoral area following a cardiac catheterization
Patient who has dark red coloration of left toes and absent pedal pulse
Which of the following principles should underlie an emergency preparedness activities?
Disasters most often happen in the midwest ans gulf coast
Disasters can happen at anytime and anyplace
Disasters can be predicted if we are prepared
Disasters happen most often in urban/rural areas
The important quality being demonstrated by a Nurse in a role of a counselor and a teacher is:
Assertiveness
Firmness
Intelligence
Active Listening
You made a mistake by giving the wrong medicine. You notify the client’s doctor and write an incident report. You are demonstrating:
Responsibility
Authority
Accountability
Autocracy
The nurse is caring for a client with a blood sugar reading of 390. Is this subjective or objective data?
subjective
objective
A client tells the healthcare provider, "My leg itches." The complaint of itching is considered to be __________ data.
subjective
objective
The nurse carries out interventions in which phase of the nursing process?
evaluation
assessment
nursing diagnosis
planning
implementation
The nurse carries out interventions in which phase of the nursing process?
evaluation
assessment
nursing diagnosis
planning
implementation
The first step of the problem-solving process is to:
choose an alternative with the best chance of success
consider all possible solutions to the problem
clearly define the problem
predict the likelihood of the outcome occurring
When aid residents in reducing their fear and anxiety you are helping them in which stage of Maslow's?
Basic Physical Needs
Safety and Security
Love and Belonging
Self Actualization
Blood that is Rh positive has...
red blood cells with Rh antigens and Anti-Rh antibodies floating around the plasma
red blood cells with Rh antigens, but no Anti-Rh antibodies floating around the plasma
red blood cells that do not have Rh antigens, and no Anti-Rh antibodies floating around the plasma
red blood cells that do not have Rh antigens, and Anti-Rh antibodies floating around the plasma
If you were to give paracetamol drops to an 8 month old weighing 7.5kgs, How much in ML will you give if you desire to give 12 mg/kg/dose?
(a)
A 7 yr old child was given cefuroxime 250 mg/5ml oral suspension 5ml BID. Weight is 20 kgs. Compute for the mg/day.
(a)
Give 5 components of APGAR
A nurse is planning care for a child who has suspected epiglottitis. Which of the following actions should the nurse take?
Obtain a throat culture.
Place the child in an trendelenberg position.
Transport the child to radiology for a throat x-ray.
Place the child in an upright position.
A nurse in a PACU is admitting a client who is postoperative following a tonsillectomy. Which of the following actions should the nurse plan to take to prevent aspiration?
Place a bedside humidifier at the head of the client's bed.
Suction the nasopharynx as needed.
Withhold fluids until the client demonstrates a gag reflex.
Perform chest physiotherapy.
A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?
Keep the child home for 1 week.
Give the child acetaminophen for discomfort.
Offer the child clear liquids for the first 24 hr.
Assist the child to take a tub bath for the first 3 days.
Which of the following items is included in a valid informed consent? Select all that apply
Patient must be 16 years of age or older
Patient must be 18 years of age or older
Consent must be freely given
A physician must obtain informed consent
A physician assistant may obtain informed consent
Patients who smoke are urged to stop...
At least 60 days before surgery
At least 30 days before surgery
At least 7-10 days before surgery
At least 14 days before surgery
ASA (aspirin) should be discontinued...
7-10 days before surgery
1-3 days before surgery
At least 30 days before surgery
At least 60 days before surgery
The use of herbal medicines should be discontinued...
At least 2 days before surgery
At least 2 weeks before surgery
At least 30 days before surgery
At least 7-10 days before surgery
Which of the following statements is the correct way for patients to splint incisions when they cough?
Put the palms of the fingers together and interlace the fingers snugly and place hands across incision
Hold one hand gently directly over the incision and breathe deeply before coughing
Hold both hands on top of each other strongly exerting pressure over the incision
Have the patient deep breathe while they provide medium pressure over the incision
Deep breathing is an important pre-operative teaching area. Which one of the following would be included in your teaching for the pre-operative patient?
Take a deep breath and hold for 5 seconds, repeat 15 times twice daily
Take a deep breath and hold for 10 seconds
Take a deep breath and hold for 3 seconds, repeat 15 times twice daily
Take a deep breath and hold for 5 seconds, repeat 5 times twice daily
Healthy patients are allowed clear liquids up to...
4 hours before an elective surgical procedure
3 hours before an elective procedure
2 hours before an elective procedure
8 hours before an elective procedure
Healthy patients are allowed clear liquids up to...
4 hours before an elective surgical procedure
3 hours before an elective procedure
2 hours before an elective procedure
8 hours before an elective procedure
The patient who is considered at risk for surgical complications is...
A patient with arthritis
A patient with HTN (hypertension)
A dehydrated patient
A patient who smokes
Which of the following conditions is commonly associated with obese patients and of primary concern when scheduled for surgery? Select all that apply
Wound infection
Sleep apnea
Wound dehiscence
Hypoventilation
Which of the following surgeries would be classified as emergent?
Kidney stones
Urethral stones
Fractured skull
Cataract
The preoperative phase of surgery begins with...
the decision to proceed with surgical intervention
the patient being admitted to the pre-admission testing unit
the patient being transferred to the OR suite
the patient signing admission paperwork
Which health care provider informs the patient of the benefits and risks of surgery prior to going to surgery?
Registered Nurse
Surgeon
OR administrator
Licensed Physicians Assistant
Which of the following items is included in a valid informed consent? Select all that apply
Patient must be 16 years of age or older
Patient must be 18 years of age or older
Consent must be freely given
A physician must obtain informed consent
A physician assistant may obtain informed consent
Which statement is correctly stated as an expected client outcome?
Client will ambulate safely.
Client will be able to safely walk down the hallway.
Nurse will assist the client with ambulation three times daily.
Client will ambulate with assistance to nurse's station on second postoperative day.
The nurse knows which intervention is a dependent intervention?
Obtaining a client's BP
Massaging a client's back
Administering medications to a client
Assessing a client's lung sounds
The nurse knows which intervention is a dependent intervention?
Obtaining a client's BP
Massaging a client's back
Administering medications to a client
Assessing a client's lung sounds
The nurse is caring for a client recovering from a CVA (cerebrovascular accident). When reviewing orders, the nurse notes that a healthcare provider has written an order for the client to ambulate, while another has written for strict bedrest. What is the most appropriate nursing intervention?
Collaborate with the physical therapist to determine if the client can ambulate
Assess the client to determine the client's ability to ambulate
Instruct the client to clarify with the healthcare provider ambulation orders
Clarify ambulation orders with healthcare providers
One hour after receiving pain medication, a postoperative client reports intense pain. What is the nurse's most appropriate first action?
Discuss the frequency of pain medication orders with the client.
Assess the client to determine the cause of the pain
Consult with the healthcare provider for additional pain orders
Assist the client to reposition and splint the incision site
A nurse is reviewing lab reports. The nurse recalls blood plasma is located in which of the following fluid compartments?
Intracellular fluid (ICF)
Extracellular fluid (ECF)
Interstitial fluid
Intravascular fluid
A nurse is teaching the staff about antidiuretic hormone (ADH). Which information should the nurse include? Secretion of ADH is stimulated by:
Increased serum potassium
Increased plasma osmolality
Decreased renal blood flow
Generalized edema
When planning care for a dehydrated patient, the nurse remembers the principle of water balance is closely related to _____ balance.
Potassium
Chloride
Bicarbonate
Sodium
When planning care for a dehydrated patient, the nurse remembers the principle of water balance is closely related to _____ balance.
Potassium
Chloride
Bicarbonate
Sodium
Which statement by the staff indicates teaching was successful concerning aldosterone? Secretion of aldosterone results in:
Decreased plasma osmolality
Increased serum potassium levels
Increased blood volume
Localized edema
A 5-year-old male presents to the ER with delirium and sunken eyes. After diagnosing him with severe dehydration, the primary care provider orders fluid replacement. The nurse administers a hypertonic intravenous solution. Which of the following would be expected?
Symptoms subside quickly
Increased ICF volume
Decreased ECF volume
Intracellular dehydration
Which of the following patients is the most at risk for developing hypernatremia? A patient with:
Vomiting
Diuretic use
Dehydration
Hypoaldosteronism
Which of the following patients is the most at risk for developing hypernatremia? A patient with:
Vomiting
Diuretic use
Dehydration
Hypoaldosteronism
Which of the following buffer pairs is considered the major plasma buffering system?
Which of the following buffer pairs is considered the major plasma buffering system?
Carbonic acid/bicarbonate
Sodium/potassium
Amylase/albumin
Which patient is most prone to metabolic alkalosis? A patient with:
Retention of metabolic acids
Hypoaldosteronism
Excessive loss of chloride (Cl)
Hyperventilation
For a patient experiencing metabolic acidosis, the body will compensate by:
Excreting H+ through the kidneys
Hyperventilating
Retaining CO2 in the lungs
Secreting aldosterone
Hyypermagnesemia is defined as:
> 0.5 mEq/L
>1 mEq/L
>2 mEq/L
>2.5 mEq/L
All the following can occur with hyperkalemia EXCEPT:
Peaked T waves
Narrowed PR interval
Widened QRS
Loss of P wave
