Nclex-Rn Practice Questions-Appendices And İndex - Comprehensive Test 4 Part 1
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Question 1 |
A nurse-manager has identified several interpersonal problems with a staff member. Which approach is best for the nurse-manager to take?
A | Map out a plan of action for each problem and discuss it. |
B | Begin to solve the first problem and work through the list. |
C | Ask the staff member to select the problem she would like to resolve. |
D | Prioritize the problems with the staff member and begin to work on them together. |
Question 2 |
The nurse is caring for a pregnant client with cardiovascular disease. Which treatment would the nurse expect for this client?
A | Scheduled rest periods throughout the day |
B | Hospitalization |
C | Therapeutic abortion |
D | Continuous cardiac monitoring |
Question 3 |
Before feeding a client with Parkinson’s disease, which nursing action is most important?
A | Sit the client upright. |
B | Have suction available. |
C | Order a clear liquid diet. |
D | Have a speech therapist evaluate the client. |
Question 4 |
The nurse is caring for a client showing symptoms of bronchial obstruction. Which assessment finding would the nurse expect to find?
A | Hacking cough |
B | Diminished breath sounds |
C | Production of rust-colored sputum |
D | Decreased use of accessory muscles |
Question 5 |
A client with chronic obstructive pulmonary disease (COPD) is being discharged from the hospital. The nurse provided teaching on medications, diet, and exercise. Which statement by the client indicates further teaching is necessary?
A | “I’ll eat six small meals a day.” |
B | “I’ll get a flu shot every winter.” |
C | “I’ll walk every morning before breakfast.” |
D | “I’ll call my physician if I get cold symptoms.” |
Question 6 |
The nurse is teaching a student nurse about the purpose of diaphragmatic breathing exercises for a client with chronic obstructive pulmonary disease (COPD). Which statement by the nurse is correct?
A | “It dilates the bronchioles.” |
B | “It decreases vital capacity.” |
C | “It increases residual volume.” |
D | “It decreases alveolar ventilation.” |
Question 7 |
The nurse is teaching another nurse about pulmonary capillary wedge pressure. Which response is the most accurate regarding this pressure?
A | “It reflects systemic vascular resistance.” |
B | “It reflects right ventricular end pressure.” |
C | “It reflects right atrial presystolic pressure.” |
D | “It reflects left ventricular end-diastolic pressure.” |
Question 8 |
A client is admitted to the emergency department with severe epistaxis. The physician inserts posterior packing. Later, the client is anxious and says he doesn’t feel he’s breathing right. Which nursing action is appropriate?
A | Cut the packing strings and remove the packing. |
B | Reassure the client that what he’s experiencing is normal. |
C | Ask the client to fully explain what he means by “right.” |
D | Use a flashlight and inspect the posterior oral cavity of the client. |
Question 9 |
Which condition causes heart failure after a myocardial infarction (MI)?
A | Increased workload of the heart |
B | Increased oxygen demands of the heart |
C | Inability of the heart chambers to adequately fill |
D | Impairment of contractile function of the damaged myocardium |
Question 10 |
A client with a history of myasthenia gravis is admitted to the emergency department with complaints of respiratory distress. The client’s condition worsens, and arterial blood gases are drawn. The nurse anticipates that the client will develop which condition?
A | Metabolic acidosis |
B | Metabolic alkalosis |
C | Respiratory acidosis |
D | Respiratory alkalosis |
Question 11 |
A nurse is teaching a client about lifestyle changes that need to be made after a myocardial infarction (MI). The diagnosis of ineffective coping is supported when the client is observed in which action?
A | Reading a book about meal planning |
B | Pacing the floor of his room on occasion |
C | Sitting quietly in his room for a short time |
D | Telling his family he didn’t have an MI |
Question 12 |
A nurse is assessing a client and notes an increase in the tactile fremitus. Which condition would the nurse suspect with this client?
A | Atelectasis |
B | Emphysema |
C | Pneumonia |
D | Pneumothorax |
Question 13 |
The nurse prepares to administer morphine to a client with an acute myocardial infarction for which reason?
A | To decrease cardiac output |
B | To increase preload and afterload |
C | To increase myocardial oxygen demand |
D | To decrease myocardial oxygen demand |
Question 14 |
A team leader notes increasing unrest among the staff members. Which action is best for the team leader to take?
A | Discuss the problem with a coworker. |
B | Report the problem to the nurse-manager. |
C | Bring the group together and discuss the team leader’s perception. |
D | Ignore the problem and hope the attitude won’t interfere with the functioning of the floor. |
Question 15 |
Two hours after submucous resection, a client’s nostrils are packed and a drip pad is anchored under the nose. Which assessment alerts the nurse that the surgical site is bleeding?
A | Frequent swallowing |
B | Dry mucous membranes |
C | Decrease in urine output |
D | Temperature elevation |
Question 16 |
A client with an arm cast complains of severe pain in the affected extremity, and decreased sensation and motion are noted. Swelling in the fingers is also increased. What is the most important intervention?
A | Elevating the arm |
B | Removing the cast |
C | Giving an analgesic |
D | Calling the physician |
Question 17 |
A nurse is assisting a client on a clear liquid diet in selecting his menu. The nurse determines further teaching is necessary when the client selects which of the following?
A | Gelatin dessert |
B | Milkshake |
C | Popsicle or similar frozen dessert |
D | Tea |
Question 18 |
A client returns to a nursing unit after a bronchoscopy and is expectorating pink-tinged mucus. Which action by the nurse is most appropriate?
A | Notify the physician as soon as possible. |
B | Take the client’s vital signs and then call the physician. |
C | Auscultate the client’s lung fields for possible pulmonary edema. |
D | Tell the client this is expected after the procedure but continue to monitor the client. |
Question 19 |
A client who had a thoracotomy is using oxygen and having an arterial blood gas (ABG) analysis. What is the most appropriate information for the nurse to tell the client?
A | “I will shave the puncture site before the test.” |
B | “You need to keep the oxygen mask on for the entire test.” |
C | “You’ll be suctioned immediately before the blood is drawn.” |
D | “You won’t be allowed to drink anything for 2 hours before the blood is drawn.” |
Question 20 |
The nurse reviews the arterial blood gas results of a client with asthma. The nurse is aware that the client’s partial pressure of arterial oxygen (PaO2) result will provide information about which of the following?
A | Respiratory status |
B | Degree of dyspnea |
C | Efficiency of gas exchange |
D | Effectiveness of ventilation |
Question 21 |
A bedridden client develops disuse osteoporosis. Which nursing intervention is most important for this client?
A | Turn, cough, and deep-breathe. |
B | Increase fluids to 3,000 ml daily. |
C | Promote venous return by elevating the legs. |
D | Provide active and passive range-of-motion (ROM) exercises. |
Question 22 |
Which nursing intervention is most important to include in a nursing care plan for a client with atelectasis?
A | Give oxygen continuously at 3 L/minute. |
B | Cough and deep-breathe every 4 hours. |
C | Use the incentive spirometer every hour. |
D | Get the client out of bed to a chair every day. |
Question 23 |
Which assessment finding most likely indicates a urinary tract infection (UTI) in a 5-year-old child?
A | Incontinence |
B | Lack of thirst |
C | Concentrated urine |
D | Subnormal temperature |
Question 24 |
A client is hospitalized for 5 days with mononucleosis. Which assessment finding indicates a possibly serious consequence?
A | Vomiting |
B | Dark brown urine |
C | Temperature of 101° F (38.3° C) |
D | Cervical lymphadenopathy |
Question 25 |
A client has just started treatment with rifampin for tuberculosis. Which statement indicates the client has a good understanding of his medication?
A | “I won’t go to family gatherings for 6 months.” |
B | “My urine will look orange because of the medication.” |
C | “Now, I don’t need to cover my mouth or nose when I sneeze or cough.” |
D | “I told my wife to throw away all the spoons and forks before I come home.” |
Question 26 |
An elderly client on bed rest for a week after a bout of pneumonia is in a negative nitrogen balance. Which complication has highest priority?
A | Constipation |
B | Renal calculi |
C | Muscle wasting |
D | Vitamin B6 deficiency |
Question 27 |
Which medication should a nurse withhold from a client 6 hours before a series of pulmonary function tests (PFTs)?
A | Azithromycin |
B | Robitussin |
C | Albuterol |
D | Cefaclor |
Question 28 |
A 67-year-old client asks the nurse, “Do you think it’s wrong to masturbate?” Which response by the nurse is best?
A | “How do you feel about that?” |
B | “Do you really want to do that?” |
C | “I think you’re a little too old for that.” |
D | “Why don’t you ask your physician?” |
Question 29 |
The assessment of a client on the first day after thoracotomy shows a temperature of 100° F (37.8° C); heart rate, 96 beats/minute; blood pressure, 136/86 mm Hg; and shallow respirations at 24 breaths/minute, with rhonchi at the bases. The client complains of incisional pain. Which nursing action is most important?
A | Medicate the client for pain. |
B | Help the client get out of bed. |
C | Give ibuprofen (Motrin) as ordered to reduce the fever. |
D | Encourage the client to cough and deep-breathe. |
Question 30 |
A physician ordered a urine specimen for culture and sensitivity stat. Which approach is best for a nurse to use in delegating this task?
A | “We need a stat urine culture on the client in room 101.” |
B | “Please get the urine for culture for the client in room 101.” |
C | “A stat urine was ordered for the client in room 101. Would you get it?” |
D | “We need urine for culture stat on the client in room 101. Tell me when you send it to the lab.” |
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