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WorksheetsNCLEX - LINES AND TUBES Day1
Total questions: 25
Worksheet time: 25mins
Name
Class
Date
1.
The nurse reviews the serum laboratory results of assigned clients. Which results are most important to report to the health care provider? Select all that apply.
a)
Client with a malignancy prescribed filgrastim has neutropenia
b)
Client with acute osteomyelitis prescribed vancomycin has leukocytosis
c)
Client with acute pancreatitis prescribed hydromorphone has an elevated lipase level
d)
Client with hypertension prescribed candesartan has hyperkalemia
e)
Client with peritonitis prescribed tobramycin has an elevated creatinine level
2.
Which statements involve acceptable use of an abbreviation, symbol, or dose designation in documentation?
a)
2 cm x 3 cm x 1 cm stage II decubitus noted on left shin.
b)
4.0 u SSRI administered to cover capillary glucose of 160 mg/dL.
c)
Dose of .5 mg hydromorphone administered and the client feels 'better.'
d)
Maalox 5 mL PO administered pc as requested for c/o heartburn.
e)
Spouse voiced understanding of home urinary catheterization QID.
3.
Which of the following statements by the nurse are appropriate to include in the handoff report?
a)
A continuous IV heparin infusion was initiated at 18 units/kg/hr at 0800, and the infusion bag will need to be replaced at 2100.
b)
I gave acetaminophen 500 mg PO to the client for a headache, with good relief.
c)
The client had morphine 2 mg IV 30 minutes ago for chest pain and now reports 3 on a pain scale of 0–10.
d)
The client's sisters visited today and were very rude, but they did bring the client's medication list.
e)
The radiology department called to say that an ultrasound will be performed at 2100.
4.
Which client should the nurse prioritize for transport to the hospital after a disaster?
a)
Client at 8 weeks gestation with spotting and pulse of 90/min
b)
Client with a compound femoral fracture and an oozing laceration
c)
Client with fixed and dilated pupils and no spontaneous respirations
d)
Client with paradoxical chest movement throughout respirations
5.
Which roommate selection would be appropriate for a pediatric client with acute lymphoblastic leukemia?
a)
Client with pertussis
b)
Client with cystic fibrosis
c)
Client with a seizure disorder
d)
Client with acute glomerulonephritis
6.
A client is being discharged with plans to return home alone. The client cannot get up from a chair without help and is very unsteady when standing, even with a walker. The nurse expresses concern, but the primary health care provider is adamant that the client be discharged today. Which team member would be most appropriate to assist the nurse in advocating for this client?
a)
Clinical psychologist
b)
Occupational therapist
c)
Physical therapist
d)
Social worker
7.
Which client does the nurse assess first after receiving morning report?
a)
Client 1 day postoperative with IV PCA who reports burning at the IV site
b)
Client with a bowel obstruction prescribed nasogastric suction
c)
Client with atrial fibrillation and heart rate of 94/min
d)
Client with dementia and C. difficile who was incontinent of stool
8.
Which activities would be appropriate to assign to the licensed practical nurse (LPN)?
a)
Administer subcutaneous insulin glargine
b)
Administer oral analgesic to post-op client
c)
Reinforce insulin self-administration teaching
d)
Complete admission assessment for elective surgery
e)
Record intake and output totals for all clients
9.
Which issue would a unit quality improvement committee address?
a)
10% drop in client satisfaction with registration
b)
A nurse with 3 medication errors this quarter
c)
Increase in catheter-associated UTIs
d)
Staff report incivility from lab personnel
10.
Which client should be assigned the room closest to the nurses’ station?
a)
Client with Salem sump tube and hearing impairment
b)
Client with gastroenteritis and dementia who wanders
c)
Client with herpes zoster under airborne precautions
d)
Client with sickle cell crisis requiring frequent IV opioids
11.
A client with dementia and gastroenteritis is scheduled for surgery. The client’s spouse is at the bedside and medications are due in 30 minutes. What action should the nurse take first?
a)
Perform an assessment of the client.
b)
Administer the scheduled medications to the client.
c)
Complete the preoperative checklist.
d)
Ask if the spouse has any questions about the scheduled procedure.
12.
Which indicator best measures quality improvement in client pain management?
a)
Better pain control reported by nurses
b)
Improved pain scores on medical record audits
c)
Increased PRN analgesic administration
d)
More positive feedback on satisfaction surveys
13.
At a mass casualty triage site, which client should be transported first?
a)
High-pitched, crowing inspiratory respirations
b)
Charred skin over 72% total body surface
c)
Diabetes, missed insulin dose today
d)
Temperature 96°F after water rescue
14.
Following a disaster, which clients are stable enough for discharge?
a)
Acute head injury with GCS of 12
b)
Cirrhosis with oozing esophageal varices
c)
Asthma with peak flow at 85% of personal best
d)
DVT on IV heparin with platelets 40,000/mm³
e)
Myasthenia gravis with evening ptosis
15.
Which events require an incident report due to adverse outcomes?
a)
Medication given at 9:30 instead of 9:00
b)
Worsening cellulitis after missed antibiotics for 1 day
c)
Seizure in client with epilepsy
d)
Client slid off bed and ended up seated on floor
e)
4-hour delay in STAT CT scan
16.
What should the RN do first after observing a UAP placing a Foley bag on the IV pole at the client’s chest level during ambulation?
a)
Discuss inservice education with manager
b)
Praise UAP for ambulating client
c)
Immediately lower bag and speak privately with UAP
d)
Speak to UAP at end of shift
17.
Which statements indicate proper understanding of post-stroke therapy roles?
a)
Occupational therapy will teach walker use.
b)
Physical therapy will help me dress.
c)
Social services can help me afford medications.
d)
Speech therapy will help me eat properly.
e)
Wound care will help with knee dressing.
18.
A client is unclear on a post-op low-fat diet but has signed consent for surgery. What should the nurse do?
a)
Ask family to sign consent
b)
Tell client HCP will clarify after surgery
c)
Provide education on low-fat diet options
d)
Reinforce procedure education with visual aid
19.
A client with chronic pain post-surgery reports severe pain despite max PCA dose. The nurse calls the HCP to adjust the dose. Which nursing role is demonstrated?
a)
Advocate
b)
Caregiver
c)
Educator
d)
Manager
20.
What is the best initial response when a client says “I hope you’ll take better care of me than last night’s nurse”?
a)
Apologize for previous nurse’s treatment
b)
Ask client to describe what happened
c)
Explain night nurse was probably busy
d)
Reassure client today will be better
21.
Which sources are used to determine the standards of professional nursing practice?
a)
Care given with good intention
b)
Statements from professional organizations
c)
Health care institution policies and procedures
d)
Nurse Practice Act of the state or province
e)
Nurse’s usual custom and practice
22.
During shift report, the night nurse calls a UAP “totally incompetent.” What is the best response from the day charge nurse?
a)
Encourage inservice education for UAP
b)
Tell night nurse it’s their responsibility
c)
Remind nurse UAP is doing their best
d)
Suggest the nurse talk to the unit manager
23.
What statement shows a proper understanding of participation in a randomized controlled trial?
a)
I changed my mind, but once in you're stuck.
b)
I hope others will be helped through my involvement.
c)
I know I’ll get the new medication in this study.
d)
My provider will be upset if I don't participate.
24.
Which is the best educational goal for anticipatory guidance in early Alzheimer disease and osteoarthritis?
a)
Demonstrate use of a weekly pill box
b)
Attend support group by end of month
c)
Name 2 home safety changes to prevent falls
d)
Identify 3 nutritious meals to prepare
25.
Which behavior most strongly supports suspicion of child neglect?
a)
Parent can’t stay due to work
b)
Parent divorcing and becoming single
c)
Parent stole food from cafeteria
d)
Parent leaves young sibling to care for newborn
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