NCLEX-RN Assessment for Nursing Students, Exams of Nursing

Download NCLEX-RN Assessment for Nursing Students and more Exams Nursing in PDF only on Docsity! NCLEX-RN ASSESSMENT FOR NURSING STUDENTS 2 VERSIONS 2023/2024 1. Which action(s) should you delegate to the experienced nursing assistant when caring for a patient with a thrombotic stroke with residual left-sided weakness? A. Assist the patient to reposition every 2 hours. o B. Reapply pneumatic compression boots. o C. Remind the patient to perform active ROM 2. A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings? Elevated serum calcium 3. A client with acute asthma is experiencing inspiratory and expiratory wheezing, and decreased forced expiratory volume. What is the nurse’s priority intervention? Bronchodilators 4. Which of the following is a contraindication for use of oxytocin to induce labor Placenta previa 5. Which classification of drugs is contraindicated for the client with hypertrophic 14. Signs and symptoms of an allergy attack include which of the following Prolonged expiration 15. Which nursing intervention is most appropriate to reduce environmental stimuli that may cause discomfort for a client? Check temperature of water used in a sponge bath 16. The nurse notices that a client’s heart rate decreases from 63 to 50 bpm on the monitor. The nurse should first Take the client’s blood pressure. 17. The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release? Epinephrine (Adrenalin 18. confusing pattern. The male is sweaty and pale. Which of the following tests is most likely to be performed first? Blood sugar check 19. You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.60 F orally. Which collaborative intervention must be accomplished first . Infuse ceftriaxone (Rocephin) 2000 mg IV to treat the infection. 20. A patient with a history of diabetes mellitus is in the second postoperative day following cholecystectomy. She has complained of nausea and isn’t able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient’s symptoms? Hypoglycemia 21. A nurse is communicating with a client who has aphasia after having a stroke. Which action should the nurse take? Face the client and establish eye contact. 22. A client with diabetes mellitus type I was prescribed with exenatide (Bydureon). The nurse will take which of the following appropriate actions Hold the medication and call the physician to question the prescription 23. A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination? Gustatory 24. A client has developed a vitamin C deficiency. Which of the following symptoms might the nurse most likely see with this condition Bleeding gums and loose teeth 25. The nurse is obtaining consent for a bone marrow aspiration. Which actions should the nurse take? SATA: Witness the client signing the consent form. b. Evaluate that the client understands the procedure. 26. Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma? Propranolol (Inderal) 27. A mother is inquiring about her child’s ability to potty train. Which of the following factors is the most important aspect of toilet training? The overall mental and physical abilities of the child 28. You are mentoring a student nurse in the intensive care unit (ICU) while caring for a patient with meningococcal meningitis. Which action by the student requires that you intervene immediately? The student enters the room without putting on a mask and gown. Prothrombin time 39. A home health nurse is visiting a 74-year-old client with Alzheimer's disease. During the visit, the nurse notes bruising on the client's upper arms, and the client is more withdrawn than normal. The client is unable to communicate effectively because of his disease progression. The nurse suspects elder abuse. What is the nurse's responsibility in this situation? Report the suspicion to the local agency on aging within 24 hours of the visit 40. A private nurse visits a client who istaking Humulin NPH insulin daily. The client asks the nurse how the storage of the unopened vials of insulin. The nurse tells the client to Store it in the refrigerator NCLEX-RN ASSESSMENT FOR NURSING STUDENTS VERSION 2 2023/2024 1. While working in the ICU, you are assigned to care for a patient with a seizure disorder. Which of these nursing actions will you implement first if the patient has a seizure? Turn the patient to the side and protect the airway. 2. A patient on the cardiac telemetry unit unexpectedly goes into ventricular fibrillation. The advanced cardiac life support team prepares to defibrillate. Which of the following choices indicates the correct placement of the conductive gel pads? The right side of the sternum just below the clavicle and left of the precordium. 3. A client with fever and urinary urgency must provide a urine specimen for culture and sensitivity. The nurse should instruct the client to collect the specimen from the: middle stream of urine from the bladder 4. Androgens are medically indicated in the management of all of the following except: Bodybuilding 5. A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that: . There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures 14. A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. Which of the following nutritional interventions would be most therapeutic for him at this time? A. Small, frequent feedings of foods that can be carried 15. A nurse is caring for a client with ariboflavinosis. Which of the following foods should the nurse serve this client? Milk 16. When exanimating a 1year old's ear with an otoscope, the nurse does what to visualize the tympanic membrane? A. Pulls the ear back and down 17. When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to breathe. This behavior is most indicative of Congestive heart failure 18. A nurse has just started her rounds delivering medication. A new patient on her rounds is a 4-year-old boy who is non-verbal. This child does not have any identification on. What should the nurse do? Ask the father who is in the room the child’s name 19. After receiving a change-of-shift report at 7:00 AM, which of these patients will you assess first? A 63-year-old with multiple sclerosis who has an oral temperature of 101.80 F and flank pain. 20. A patient arrives in the emergency department and reports splashing concentrated household cleaner in his eye. Which of the following nursing actions is a priority Irrigate the eye repeatedly with normal saline solution 21. When preparing to administer a tap water enema, in which position should the nurse place the client? left Sims' 22. A nurse is teaching a patient on how to mix regular insulin and NPH insulin in the same syringe. Which of the following actions, if performed by the patient , indicates the need for further teaching? Withdraws NPH insulin first 23. A diagnosis of hepatitis C is confirmed by a male client‘s physician. The nurse should be knowledgeable of the differences between hepatitis A, B, and C. Which of the following are characteristics of hepatitis C? The incubation period is 2–26 weeks. 24. Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon, she will be getting some assistive devices for eating meals. Which healthcare worker will be getting Penny these assistive devices An occupational therapist 25. The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to: Digoxin (Lanoxin) 26. A patient is admitted to the hospital with a diagnosis of primary hyperparathyroidism. A nurse checking the patient’s lab results would expect which of the following changes in laboratory findings? Elevated serum calcium 27. All of these nursing activities are included in the care plan for a 78-year-old man with Parkinson’s disease who has been referred to your home health agency. Which ones will you delegate to a nursing assistant (NA)? Check for orthostatic changes in pulse and blood pressure.