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WorksheetsNCLEX Practice Exam
Total questions: 25
Worksheet time: 51mins
A five-month-old boy is brought to the clinic by his parents for a routine visit. Which of the following observations would require an intervention by the nurse?
The child abducts his extremities and fans his fingers when he hears a loud noise.
The child cannot walk.
The child cries when he sees the nurse.
The infant has gained 7 pounds since birth.
A patient with tuberculosis asks why he must take two drugs for his one disease. The nurse explains that:
“We use two medications against tuberculosis to reduce the amount of time it takes to make your condition non-transmissible.”
“It works better with two medications. No one knows why.”
“The drug companies want more money.”
“The combination of two drugs against tuberculosis will help eliminate resistance from forming against the medications.”
A patient is being discharged after the insertion of a permanent pacemaker. Which statement made by the patient indicates an understanding regarding appropriate self-care?
“Every morning I will perform arm and shoulder stretches.”
Each day I’ll take my pulse and record it in a log.”
“I’ll have to get rid of my microwave oven.”
“I won’t be able to use my electric blanket anymore.”
A patient who has experienced atrial fibrillation for the past days is admitted to the cardiac care unit. In addition to administering an antidysrhythmia medication, the healthcare provider should anticipate which of these orders?
Initiate a heparin infusion
Prepare the patient for AV node ablation
Give atropine IV push
Prepare for immediate cardioversion
The nurse on the medical/surgical unit cares for an elderly client two days after hip replacement surgery. The nurse asks the client if she is in pain. The client responds, “I am just fine.” Which of the following responses by the nurse is MOST appropriate?
“I want to give you some pain medication anyway, just in case.”
“Look at this faces pain scale. Please show me which you are closest to right now.”
“Are you sure you’re not in pain? I see you haven’t touched your PCA pump.”
“Well, be sure to let me know when you start to hurt.”
The nurse assesses several clients using the Glasgow Coma scale. Which scenario BEST demonstrates a correct application of this scale?
The nurse applies pressure to the nail bed, and the client tries to push the nurses hand away. The scores motor response as "localization of pain."
The nurse asks the client what day it is and the client says "banana." The nurse scores verbal response as "confused."
The nruse speaks with a client and then the client's eyes open. The nurse scores eye opening as "spontaneous."
The nurse walks in the room and the client states "Hi honey. How are you?" The nurse scores verbal response as orientated."
A client admitted to the cardiac care unit with markedly elevated blood pressure and heart failure is receiving a continuous infusion of nitroprusside (vasodilator). Thirty minutes later, the client appears pale with cold, clammy skin and reports being lightheaded. Which is the PRIORITY nursing action?
Auscultate the client's lungs
Check the client's cap refill
Measure the client's blood pressure
Review the clients ECG
A client is transferred from the pos-anesthesia recovery unit to the surgical unit following an open cholecstectomy. Which interventions are most important for the nurse to perform to prevent post-op pneumonia? Select all that apply
Admin morphine only if the pain is >8 on a 1-10 pain scale
Ambulate within 8 hours after surgery if possible
Have the client cough with splinting every hour
Have the client deep breathe and use the incentive spirometer every hour
Maintain pneumatic compression devices when client is in bed
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
The important quality being demonstrated by a Nurse in a role of a counselor and a teacher is:
Assertiveness
Firmness
Intelligence
Active Listening
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
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)
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.
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
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 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
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
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 of the following patients is the most at risk for developing hypernatremia? A patient with:
Vomiting
Diuretic use
Dehydration
Hypoaldosteronism
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
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.
