300 NCLEX QUESTIONS AND ANSWERS 300 NCLEX QUESTIONS AND ANSWERS, Exams of Nursing

Download 300 NCLEX QUESTIONS AND ANSWERS 300 NCLEX QUESTIONS AND ANSWERS and more Exams Nursing in PDF only on Docsity! 300 NCLEX QUESTIONS AND ANSWERS 300 NCLEX Questions # 5 1. A nurse is putting together an educational seminar on advance directives. What information would be included in the materials? a.A patient may change a treatment decision in an advance directive if the patient's health care agent approves the change. b.When admitted to the hospital, a patient must appoint a Durable Power of Attorney for health care decisions. c.A health care facility must provide a patient informational material advising them of their rights to declare their desires concerning treatment decisions. d.A health care facility is required to provide a patient an attorney when the patient is signing a living will. 2. A nurse is advising a patient with Chronic Fatigue Syndrome on infection control procedures. Which of the following statements by the patient indicates that the patient understands the advice? a. I'm going to a basketball game tonight. b. I should avoid anyone with cold symptoms. c. I should have a blood test. d. I'm not going to attend functions with large crowds. 3. Which of the following would be an expected finding in an age assessment of a 2 year old? a. Has a 300 word vocabulary b.Uses one hand to turn the pages of a book c.Runs with a wide stance d. All of the above 4. A patient's spouse died three months ago. The patient says "I would like my friend Tom to have my collection of artwork because I don't need to look at them anymore". Which of the following responses by the nurse would be proper? 300 NCLEX QUESTIONS AND ANSWERS a. Did Tom ask for the artwork? b.Are you planning to commit suicide? c. Does Tom know you want to give him the artwork? d.Why do you want to give the artwork away? 300 NCLEX QUESTIONS AND ANSWERS d.Consent to disclosure is implied when a patient is transferred from one health provider or facility to another. 10. A patient has a prescription for Tylenol at 650mg every 6 hours. A nurse only has 325mg pills of Tylenol available. How many pills would be administered every 6 hours? a. 2 b.3 c. 4 d.5 11. A patient is suffering from heart failure. Which of the following would be recommended by a nurse as part of the patient's health care plan? a.Discouraging a diet of fruit and vegetables b. Checking for swelling of the lower limbs c. Encourage the daily intake of fluids d. Encouraging vigorous exercise 12. A patient has had diarrhea for the past 72 hours. Which of the symptoms would support a diagnosis of hypovolemia? a. Light colored urine output b.Decreased pulse rate c.Wet mucous membranes d. Dizzy Spells 13. The spouse of a patient in a long term treatment facility asks a nurse for information about the patient's treatment plan. The nurse should respond as follows? a.Ask the patient for the information. b. I cannot give you information on any patient. c.The doctor will speak to you about the treatment plan. 300 NCLEX QUESTIONS AND ANSWERS d.Can you give me the patient's Social Security Number? 14. Which of the following infectious control methods should be used when caring for a patient with bacterial pneumonia? a.Wear a mask when taking vital signs b.Do not allow flowers in the patient's room 300 NCLEX QUESTIONS AND ANSWERS c. Require the patient to use disposable eating utensils d.Do not allow visitors 15. A patient is brought to the emergency room by her spouse. The patient's injuries are indicative of physical abuse. Which of the following actions should be taken by the nurse? a. Question the couple about how their marriage is going. b. Inform the spouse that the patient's injuries appear to be the result of abuse. c. Inform the patient that she will have to speak to the police. d.With the spouse out of the room, question the patient about the possibility of abuse. 16. Which of the following advisements should a patient suffering from GERG receive? a.To eat high-protrein, low-fat foods b.To stay upright two to three hours after a meal c.Limit the intake of acid-stimulating food and drink d. All of the above 17. A patient, who weighs 143 pounds, has a prescription for Garamycin at two mg/kg, IV, every eight hours. There is 100 mg in 50 ml solution on hand. The nurse should administer milliliters to the patient with each dose. a. 45 b.5 5 c. 65 d. 75 18. A patient is not to eat or drink anything 24 hours before a colonoscopy. Tru e Fals e 300 NCLEX QUESTIONS AND ANSWERS most appropriate team member to report this statement? a. Doctor b.Physical Therapist c. Case Manager d. Director of Nursing 300 NCLEX QUESTIONS AND ANSWERS 25. A nurse just started a blood transfusion for a patient with a Hemoglobin of 6. The patient says, "I feel hot, my stomach hurts, and I am having difficulty breathing." What should be the nurses first action? a.Notify the physician immediately b. Stop the infusion c. Take vital signs d. Call a code 26. The patient has only one IV site with a continuous infusion of Lactated Ringers solution. The provider has prescribed Ceftriaxone 100 mg in Normal Saline 50 ml to be given IV now. What should be the nurse's first action? a. Mix the Ceftriaxone into the Normal Saline and piggy-back into the primary infusion b. Insert a secondary IV so the infusions can run simultaneously c.Stop the Lactated Ringer's Solution and start the Ceftriaxone now. d. Check the IV Compatibility of the two medications 27. Which of the following lab tests would be considered Point of Care testing? a. Urinalysis b.Sputum Culture c.Complete Metabolic Panel d. Blood Glucose 28. The nurse enters the room of a patient complaining of lower back pain after a left hip replacement surgery. What non-pharmacological intervention would not be appropriate? a. Reposition the patient onto the left side b.Massage the patient's back c. Lower the head of the bed and elevate the patient's legs onto a pillow d.Apply a warm pack to the patient's back 300 NCLEX QUESTIONS AND ANSWERS 29. The nurse notices a CNA using an alcohol-based hand sanitizer after walking out of a room marked as Enteric Contact Precautions. What should the nurse's response be? a. Nothing as the CNA has appropriately washed their hands after leaving the room b.Tell the CNA they need to wear a mask in the room c.Tell the CNA they should dispose of their gloves outside of the room 300 NCLEX QUESTIONS AND ANSWERS a.To decrease lung capacity b.To gently exercise the lungs c.To improve recovery time d.To prevent pneumonia 35. A nurse is changing the dressing for a post-op Bilateral Knee Amputation patient. The nurse notes the patient refuses to look at the limb while the dressing is being changed but asks the nurse about their personal life instead. Which nursing care plan should the nurse implement for the patient related to this action? a. Disturbed Body Image b.Altered Sleep Pattern c. Impaired Memory d. Impaired Social Interaction 36. Which method should be the last resort in assisting a patient who is experiencing mild anxiety? a.Therapeutic Communication b.Deep-Breathing c.Progressive Muscle Relaxation d. Administration of Haldol 37.The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: A.Using oil- or cream-based soaps B.Flossing between the teeth C.The intake of salt D.Using an electric razor 38.The nurse is changing the ties of the client with a tracheotomy. The 300 NCLEX QUESTIONS AND ANSWERS safest method of changing the tracheotomy ties is to: A.Apply the new tie before removing the old one. 300 NCLEX QUESTIONS AND ANSWERS B.Have a helper present. C.Hold the tracheotomy with the nondominant hand while removing the old tie. D.Ask the doctor to suture the tracheostomy in place. 39.The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to: A.Turning the client to the left side B.Milking the tube to ensure patency C.Slowing the intravenous infusion D.Notifying the physician 40.The infant is admitted to the unit with tetrology of falot. The nurse would anticipate an order for which medication? A.Digoxin B.Epinephrine C.Aminophylline D.Atropine 41.The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram below. select where the Tail of Spence is. A. A Axillary B. B C. C D. D 42.The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will: A.Tire easily 300 NCLEX QUESTIONS AND ANSWERS D. Clear the air from the syringe before injections 46.A nurse is caring for an adult that has recently been diagnosed with metabolic acidosis. Which of the following clinical signs would most likely not be present? A: Weakness 300 NCLEX QUESTIONS AND ANSWERS B: Dysrhythmias C: Dry skin D: Malaise 47.A nurse is caring for an adult that has recently been diagnosed with metabolic alkalosis. Which of the following clinical signs would most likely not be present? A: Vomiting B: Diarrhea C: Agitation D: Hyperventilation 48.A nurse is caring for an adult that has recently been diagnosed with respiratory acidosis. Which of the following clinical signs would most likely not be present? A: CO2 Retention B: Dyspnea C: Headaches D: Tachypnea 49.A nurse is caring for an adult that has recently been diagnosed with respiratory alkalosis. Which of the following clinical signs would most likely not be present? A: Anxiety attacks B: Dizziness C: Hyperventilation cyanosis D: Blurred vision (C) Hyperventilation cyanosis is associated with respiratory acidosis. 50.A nurse is reviewing a patient's medication list. The drug Pentoxifylline is present on the list. Which of the following conditions is commonly treated with this medication? A: COPD B: CAD C: PVD D: MS 300 NCLEX QUESTIONS AND ANSWERS 51.A patient has been on long-term management for CHF. Which of the following drugs is considered a loop dieuretic that could be used to treat CHF symptoms? A: Ciprofloxacin B: Lepirudin C: Naproxen D: Bumex 52.A patient has recently been diagnosed with polio and has questions about the diagnosis. Which of the following systems is most affected by polio? A: PNS B: CNS 300 NCLEX QUESTIONS AND ANSWERS 59.A thirteen-year old male has a tender lump area in his left groin. His abdomen is distended and he has been vomiting for the past 24 hours. Which of the following would you most like suspect? A: Ulcerative colitis B: Biliary colic C: Acute gastroenteritis D: Strangulated hernia 60.Which of the following is the key risk factor for development of Parkinson's disease dementia? A: History of strokes B: Acute headaches history C: Edward's syndrome D: Use of phenothiazines 61.A father notifies your clinic that his son's homeroom teacher has just been diagnosed with meningitis and his son spent the day with the teacher in detention yesterday. Which of the following would be the most likely innervention? A: Isolation of the son B: Treatment of the son with Aciclovir C: Treatment of the son with Rifampicin D: Reassure the father 62.A patient has recently been diagnosed with hyponatremia. Which of the following is not associated with hyponatremia? A: Muscle twitching B: Anxiety C: Cyanosis D: Sticky mucous membranes 63.A patient has recently been diagnosed with hypernatremia. Which of the following is not associated with hypernatremia? A: Hypotension B: Tachycardia C: Pitting edema D: 300 NCLEX QUESTIONS AND ANSWERS Weight gain 64.Which of the following normal blood therapeutic concentrations is abnormal? A: Phenobarbital 10-40 mcg/ml B: Lithium .6 - 1.2 mEq/L C: Digoxin .5 - 1.6 ng/ml D: Valproic acid 40 - 100 mcg/ml 65.Which of the following normal blood therapeutic concentrations is abnormal? A: Digitoxin 09 - 25 mcg/ml B: Vancomycin 05 - 15 mcg/ml . F J 300 NCLEX QUESTIONS AND ANSWERS C: Primidone 02 - 14 mcg/ml D: Theophylline 10 - 20 mcg/ml 66.Which of the following normal blood therapeutic concentrations is abnormal? A: Phenytoin 10 - 20 mcg/ml B: Quinidine 02 - 06 mcg/ml C: Haloperidol 05 - 20 ng/ml D: Carbamazepine 5 - 25 mcg/ml 67.Anolderadultisadmitedtothemedicalsurgica lunitwithdehydration.Thenurse performswhichoftheseas es mentstodeterminewhethertheclientissafefor independent ambulation? A. Asesesfordryoralmucou smembranes B Checksfororthostaticblo dpresurechanges C. Notespulserateis72beats/ minandbounding D. Evaluatesthatheserum potasium levelis4.0mEq/L(4.0mmol/L) 68. Thenurseisas es ingfluidbalanceintheclientwithheartfail ure.Whichofthese strategieswilthenurseemploy? E. Asktheclienthowmuchfluid wasconsumedyesterday. Placeanindwelingcathete rtomeasureurineoutput. G. Auscultatethelungsforadventitious sounds. H. Weightheclientdaily,athesametime. 69. Thenurseispreparingaclientadiagnosisofco ngestiveheartfailure(CHF)fordischarge. Whichstatementbytheclientindicatesacorrec tunderstandingofself-managementofCHF? I. “Icangain2pounds(1kg)ofwater adaywithoutrisk.” “IshouldcalmyproviderifIgainm orethan1pound(0.5kg)awe k.” K. “Weighingmyselfdailycandeterminei fmycaloricintakeisadequate.” L. “Weighingmyselfdailycanrevealincr 300 NCLEX QUESTIONS AND ANSWERS an older adult client states, “I am not sleeping at all during the night.” The client’s partner reports that the client is sleeping all day. Which intervention does the nurse suggest? a. Increasing the client’s daytime activities 300 NCLEX QUESTIONS AND ANSWERS b. Placing a “Do not disturb” sign on the door at night c. Taking additional pain medication (analgesic) during the day d. Taking herbal sleep remedies to enhance the effects of prescribed medications 75.The nurse is conducting a medication assessment on an older adult client who is being admitted to a long-term care facility for rehabilitation following a hip replacement. With Beers Criteria used as a resource, which drug poses a potential risk for this client? a. Acetaminophen (Tylenol) b. Celecoxib (Celebrex) c. Digoxin (Lanoxin) d. Mesalamine (Asacol) 76.The nurse is assessing the nutritional status of an older adult client. Which statement made by the client needs to be explored further? a. “Although I enjoy eating sweets and desserts, I need to balance them with healthier foods.” b. “For protein in my diet, I like to get the fish sandwich and fries at the fast-food drive-through at least three times a week.” c. “To keep my bowel movements regular, I try to eat some fresh fruits or vegetables each day.” d. “With less activity and exercise in my life these days, I should reduce my total calorie intake.” 77.The nurse is assessing an older adult client’s alcohol use. Which client statement warrants a follow-up collection of more data? a. “I am a ‘teetotaler’; I never drink anything alcoholic.” b. “I had three glasses of champagne at my granddaughter’s wedding last month.” 300 NCLEX QUESTIONS AND ANSWERS c. “I like to have a glass of wine every once in a while.” d. “I usually drink two vodkas to help me get to sleep each night.” 300 NCLEX QUESTIONS AND ANSWERS d. An 85-year-old client with breathing problems receiving daily doses of prednisone 82.The nurse is teaching a class of older adults about ways to promote their cognitive health. Which collaborative interventions will be most helpful for them? (Select all that apply.) a. Allowing for increased rest and relaxation time b. Having solitary times to reminisce about life experiences c. Joining a peer group with a common learning goal d. Learning a new skill e. Meditating for 30 minutes every day f. Starting a new physical activity 83.The RN has delegated nursing actions to experienced unlicensed assistive personnel (UAP) working in a long-term care facility. Which actions require direct supervision by the RN? (Select all that apply.) a. Assisting a 70-year-old client who has new-onset leg pain when ambulating b. Feeding an 82-year-old client who has severe joint disease in both hands c. Helping a 66-year-old client complete her personal hygiene d. Repositioning a 69-year-old client who has recently become unconscious e. Assisting a 72-year-old client who has chronic arthritis of the knee to the restroom 84.A nurse is planning a teaching session for parents of preschool children. Which statement explains why the nurse should include information about morbidity and mortality? ANS: High-risk age groups for certain disorders or hazards are identified. 84.A clinic nurse is planning a teaching session about childhood obesity 300 NCLEX QUESTIONS AND ANSWERS prevention for parents of school-age children. The nurse should include which associated risk of obesity in the teaching plan? ANS: Type II diabetes 85.Which is the leading cause of death in infants younger than 1 year? ANS: Congenital anomalies 300 NCLEX QUESTIONS AND ANSWERS 86. Which leading cause of death topic should the nurse emphasize to a group of African-American boys ranging in age from 15 to 19 years? ANS: firearm homicide 87.Which is the major cause of death for children older than 1 year? ANS: unintentional injuries 88.Which is the leading cause of death from unintentional injuries for females ranging in age from 1 to 14? ANS: motor vehicle related fatalities 89.Which factor most impacts the type of injury a child is susceptible to, according to the child’s age? ANS: developmental level of the child 90.Which is now referred to as the “new morbidity”? ANS: Behavioral, social, and educational problems that alter health 91.A nurse on a pediatric unit is practicing family-centered care. Which is most descriptive of the care the nurse is delivering? ANS: recognizing that the family is the constant in a child’s life 92.The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include? ANS: Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal. 93.Which is most suggestive that a nurse has a nontherapeutic relationship with a patient and family? ANS: Staff is concerned about the nurse’s actions with the patient and family. 94.Which is most descriptive of clinical reasoning? ANS: Purposeful and goal- directed 95.A nurse makes the decision to apply a top ical anesthetic to a child’s skin before drawing blood . Which ethical principle is the nurse demonstrating? ANS: Beneficence 96.Which action by the nurse demonstrates use of evidence-based practice (EBP)? ANS: Questioning the use of daily central line dressing changes 97.A nurse is admitting a toddler to the hospital. The toddler is with both parents and is currently sitting comfortably on a parent’s lap. The parents state they will need to leave for a brief period. Which type of nursing diagnosis should the nurse formulate for this child? ANS: risk for