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WorksheetsMOSNA NCLEX Review
Total questions: 25
Worksheet time: 25mins
The nurse assesses a dark-skinned patient for the presence of cyanosis. Which body area does the nurse use for the assessment?
Back of the hands
Earlobes
Palms of the hands
Sacrum
The nurse assesses a client who reports the last menstrual period being 2 months ago. Which finding does the nurse identify as a positive verification of pregnancy?
Auscultation of fetal heart tones
Breast sensitivity
Urinary frequency
Uterine enlargement
The nurse plans care for a client receiving peritoneal dialysis. Which intervention is most important for the nurse to include in the plan of care?
Maintain strict aseptic technique
Add heparin to dialysate solution
Change the catheter site dressing every day
Monitor client's LOC
The nurse on a rehabilitation unit provides care for a client with various levels of physical functioning. Prior to establishing a plan for safe use of assistive devices, which action does the nurse take first?
Give clear instructions on the use of mobility aids w teach-back
Assess equipment and surrounding area for safety
Assess the client's capability to balance and transfer
Provide motivational incentives for proper equipment use and correct body mechanics
The new graduate nurse observes another nurse signing off medications for the entire shift for multiple clients. The new grad nurse reports the situation to the nursing supervisor based on which legal principle?
Slander
Libel
Negligence
Battery
Nurse reviews the care needs for a group of postpartum clients. Which client does the nurse identify as being most at risk for developing postpartum hemorrhage?
Client who delivered a 9lb, 8oz newborn
Client with an episiotomy
Client with engorged breasts
Client requesting assistance with fundal massage
Nurse screens clients at a health fair. Nurse recommends priority follow-up with a HCP for which client?
Client with apical pulse of 54 beats/min and who is a marathon runner
Client with family history of coronary artery disease and drinks 1-2 glasses red wine nightly
Client with body weight 20% > than recommended, HbA1c of 5.7%
Client with BP 162/96 and stopped smoking 2 weeks ago
Nurse observes staff member apply a gown, gloves, and face mask before entering a client's room. For which client is this PPE appropriate?
Adolescent diagnosed with mono
School-age child diagnosed w hepatitis A
Adolescent diagnosed with toxic shock syndrome
Infant diagnosed wtih rhinovirus
A client undergoes evaluation for an acute onset of seizures. Which diagnostic test does the nurse expect to be prescribed initially?
Magnetic resonance imaging
Cerebral angiography
Electroencephalogram
Electromyogram
Adolescent client presents to ED with reports of uncontrolled bleeding of gums and nose for 45 minutes. Upon taking health hx, nurse notes client has hemophilia C. Which prescription by HCP should nurse carry out first?
Give oral acetaminophen as prescribed
Pinch client's nose for 20 minutes
Administar IV recombinant factor XI as prescribed
Call lab to draw partial thrombopalstin time test
A school-age client is found sleep-walking in hospital hallway. Which action by nurse is most appropriate?
Promptly notify client's parents about sleepwalking episode
Check client's medical recrod for hx of sleep walking
Gently tap client's soldier shoulder and guide client back to bed
Attempt to arouse client by shaking shoulders and speaking loudly
A child client with failure to thrive has a positive sweat test. Which change does the nurse anticipate in the client's plan of care?
Administer replacement enzymes
Apply oxygen
Provide salt-restricted diet
Initiate IV therapy
A pediatric nurse prepares a high-calorie formula feeding for an infant diagnosed with failure to thrive. Infant is to receive 2 ounces of 22-calorie/ounce formula every 2 hours. How many calories does the nurse document that the infant receives daily? (just number)
(a)
The nurse provides care for a client diagnosed with malignant melanoma. Which finding does the nurse expect to observe when assessing the client?
An irregularly shaped lesoin
A pearly papule with a waxy border
Small papule with rough dry scale
Firm, nodular lesion covered by a crust
The nurse observes a group of children patients at play. Which type of play does the nurse identify as typical for toddlers?
Four children playing dodge ball
Three children playing tag
Two children in a sandbox building castles side by side
One child digging a hole, another blowing bubbles
A client with a newly placed tracheostomy and a dx of active TB is admitted. When orienting the client to the unit, it is most important for the nurse to include which information?
Importance of adhering to prescribed diet
Use of the phone and direct number to nurses' station
Location and use of the call light
Importance of covering the tracheostomy site when ambulating to the cafeteria
A client diagnosed w C. diff is placed on contact precautions. HCP prescribes an ECG stat. Which action by the nurse is most appropriate after the completion of the ECG?
Plug device into a working outlet and place a biohazard bag over it
Disinfect the equipment and replace electrodes with an unopened package
Place work order for biomedical dept to come and replace all ECG wires on device
Leave portable ECG machine in client's room until discharge
The nurse prepares to assess an adolescent client during a visit to the clinic for a sports physical. Which developmentally appropriate intervention does the nurse include with an adolescent
Allow time for questions without the parent present in the room
Expose the entire body to allow for a quick examination
Allow adolescent females to keep their bra on during the exam
Remain in the exam room while the adolescent undresses
The nurse provides care to an older adult client diagnosed with right-sided paralysis by a CVA. Which sign is most important for the nurse to post in the client's room?
"Keep floor dry and free of debris"
"Do not use right arm for lifting"
"Client is hard of hearing"
"Client is paralyzed on right side"
The newly hired nurse undergoes screening for vaccination history by employee health. The new nurse reports to the employee health nurse that hepatitis B immunity was established with a previous employer. Which response by the employee health nurse is best?
"You must repeat the hepatitis immunity screen"
"Would you like to verify your immunity to hepatitis B with a blood test?"
"Do you have a copy of the hepatitis screening?"
"Did you receive a hepatitis vaccine in the deltoid?"
A client experiencing regular contractions reports "water breaking". Which action does the nurse take first?
Ausculate the fetal heart rate
Document characteristics of amniotic fluid
Obtain pH of amniotic fluid
Notify the HCP
During the admission process, a client reports pain in the right arm and states that it has been hurting since blood was drawn earlier. The nurse discovers a tourniquet in place. What action does the nurse take next?
Notify the HCP
Assess the arm
Remove the tourniquet
Complete an incident report
The nurse provides care for a client admitted with bed bugs. Which type of precautions will the nurse implement?
Standard precautions
Airborne precautions
Droplet precautions
Contact precautions
A parent brings a 10-month-old to the health clinic. The parent asks the nurse when the client will be ready to begin toilet training. Which response by the nurse is accurate?
"Your child is ready now"
"Your child will be ready in 2 months"
"Your child should be ready in another 8-12 months"
"Your child will tell you when your child is ready"
An adolescent client asks the school nurse what to do when the parent has a panic attack during any attempt to leave the house. Which response will the nurse provide?
"Have your parent practice deep breathing and relaxation techniques before leaving the house"
"Tell your parent that this behavior is disruptive to the whole family"
"You are concerned for your parent, but more help is needed than you are able to provide"
"Get your parent into the car and quickly leave the area to promote desensitization"
