2024 Nclex Practice
A nurse is caring for a client who has a depressed skull fracture of the bone
thatthe
up makes
larger part of the upper and side wall of the cranium. This fracture is
locatedofon
which the following
bones?
a.
sphenoid
b.
occipital
c.
parietal
d. frontal Correct answers
Parietal
-sphenoid forms part of
face
-occipital is the back of the
skull
-frontal is the front of the
skull
What is the primary dietary alteration for a client who has heart failure?
Correct answers
Sodium
Restriction
ex: turkey sandwich with whole-wheat
bread
A nurse is caring for a clinet who has multiple sclerosis and is receiving
interferon
1a. beta-
The nurse should identify that which of the following client statements
indicates adverse
potential a effect of the
medication?
a. my body aches all
over
b. i have abdominal
cramping
c. my hair seems to be
thinning
d. it hurts when i urinate Correct answers My body aches
all over
-adverse effects of interferon beta-1a include flu-like
symptoms
A nurse is teaching a client with cystic fibrosis about daily chest
physiotherapy.
the following is Which of
the purpose of these
treatments?
a. to encourage deep
breaths
b. to mobilize secretions in the
airways
c. to dilate the
bronchioles
d. to stimulate the cough reflex Correct answers To mobilize secretions in
the airways
- the purpose is to loosen and promote the drainage of secretions from
the lungs
A nurse is performing a nonstress test (NST) on a client who is at 41
weeks of The client asks what the purpse of the test is/ Which of
gestation.
the following
responses should the nurse
provide?
,a. this test will determine if you are likely to deliver within the
next
b. week
this test will help determine if your baby is
healthy
c. this test can see how you baby responds when you have
contractions
d. this test will determine if you're baby's lungs are mature Correct answers
This test
help will
determine if your baby is
healthy
- This NST is used as a prenatal fetal assessment, it tracks fetal heart
rate patterns
expected with fetal movement and can help identify
fetal distress
A nurse cares for a client receiving chemotherapy. The latest blood
work shows:
platelet count
18,000/mm3
WBC count of
5,000/mm3
Which intervention does the nurse
implement?
a. respiratory transmission
precautions
b. contact transmission
precautions
c. bleeding
precautions
d. neutropenic precautions Correct answers Bleeding
precautions
-normal platelet count is 150,000-
400,000/mm3
bleeding precautions should be implemented with a platelet count
less than
A nurse is teaching a female client who has pyelonephritis about the
disorder.
the Which
following of of information should the nurse include to help the
pieces
client prevent a
recurrence
?
a. douche after vaginal
intercourse
b. wipe from front to back after
defecation
c. avoid foods that are high in
d. add yogurt to your diet regularly Correct answers Wipe from front to
phosphate
back after
defecatio
n
-pyelonephritis (renal
infection)
-phosphate can help kidney
stones
-yogurt helps with genital tract
infections
A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a
client
has hadwhoa subtotal thyroidectomy. Which of the following pieces of
equipment
the should
nurse have available at the bedside for this
client?
a. cardiac
monitor
b.
defibrillator
c. thoracotomy
tray
d. tracheostomy tray Correct answers
Tracheostomy tray
, -laryngeal edema is common after thyroidectomy, which can result in airway
obstruction
and emergency intubation can be difficult due to the swelling so a nurse
should have
this
tray
-thoracotomy = for chest tube
insertion
A nurse is planning dietary teaching for a client who has diabetes mellitus.
following
Which of theactions should the nurse plan to
take first?
a. obtain sample menus from the dietitian to give to
theask
b. client
the client to identify the types of food she
prefers
c. identify the recommended range of the client's blood
glucose
d. discusslevel
long-term complications that can result from non-adherence to
the dietary
plan Correct answers Ask the client to identify the types of food
she prefers
-Nursing process: assess, diagnosis, planning, implementation and
evaluation
A nurse is providing dietary teaching to a client who has late-stage
chronic kidney
disease (CKD). Which of the following nutrients should the nurse instruct
the clienther
increase to
diet?
a.
calcium
b.
phosphorus
c.
potassium
d. sodium Correct answers
Calcium
-CKD can cause hypocalcemia due to reduced production of vitamin D which
for calcium
is needed
absorption
-Clients with CKD can develop hyperphosphatemia, hyperkalemia and
hypernatremia
The nurse assesses a client who has new onset atrial fibrillation. The
ventricular
145 rate What
beats/min. is does the nurse expect to
observe?
a. head and neck
pain
b. bilateral lower extremity
swelling
c. distended jugular
d. dizziness and dyspnea Correct answers Dizziness and
veins
dyspnea
-uncontrolled atrial fibrillation can result in acute drop in cardiac output. s/s
are dizziness
and shortness of
breath
-bilateral lower swelling = high salt, stay in position too long, heart failure,
kidney failure,
et
c
-distended jugular signs of chronic heart failure, fluid overload, pulmonary
hypertension,
cardiac
tamponade
A nurse is caring for a client who has a depressed skull fracture of the bone
thatthe
up makes
larger part of the upper and side wall of the cranium. This fracture is
locatedofon
which the following
bones?
a.
sphenoid
b.
occipital
c.
parietal
d. frontal Correct answers
Parietal
-sphenoid forms part of
face
-occipital is the back of the
skull
-frontal is the front of the
skull
What is the primary dietary alteration for a client who has heart failure?
Correct answers
Sodium
Restriction
ex: turkey sandwich with whole-wheat
bread
A nurse is caring for a clinet who has multiple sclerosis and is receiving
interferon
1a. beta-
The nurse should identify that which of the following client statements
indicates adverse
potential a effect of the
medication?
a. my body aches all
over
b. i have abdominal
cramping
c. my hair seems to be
thinning
d. it hurts when i urinate Correct answers My body aches
all over
-adverse effects of interferon beta-1a include flu-like
symptoms
A nurse is teaching a client with cystic fibrosis about daily chest
physiotherapy.
the following is Which of
the purpose of these
treatments?
a. to encourage deep
breaths
b. to mobilize secretions in the
airways
c. to dilate the
bronchioles
d. to stimulate the cough reflex Correct answers To mobilize secretions in
the airways
- the purpose is to loosen and promote the drainage of secretions from
the lungs
A nurse is performing a nonstress test (NST) on a client who is at 41
weeks of The client asks what the purpse of the test is/ Which of
gestation.
the following
responses should the nurse
provide?
,a. this test will determine if you are likely to deliver within the
next
b. week
this test will help determine if your baby is
healthy
c. this test can see how you baby responds when you have
contractions
d. this test will determine if you're baby's lungs are mature Correct answers
This test
help will
determine if your baby is
healthy
- This NST is used as a prenatal fetal assessment, it tracks fetal heart
rate patterns
expected with fetal movement and can help identify
fetal distress
A nurse cares for a client receiving chemotherapy. The latest blood
work shows:
platelet count
18,000/mm3
WBC count of
5,000/mm3
Which intervention does the nurse
implement?
a. respiratory transmission
precautions
b. contact transmission
precautions
c. bleeding
precautions
d. neutropenic precautions Correct answers Bleeding
precautions
-normal platelet count is 150,000-
400,000/mm3
bleeding precautions should be implemented with a platelet count
less than
A nurse is teaching a female client who has pyelonephritis about the
disorder.
the Which
following of of information should the nurse include to help the
pieces
client prevent a
recurrence
?
a. douche after vaginal
intercourse
b. wipe from front to back after
defecation
c. avoid foods that are high in
d. add yogurt to your diet regularly Correct answers Wipe from front to
phosphate
back after
defecatio
n
-pyelonephritis (renal
infection)
-phosphate can help kidney
stones
-yogurt helps with genital tract
infections
A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a
client
has hadwhoa subtotal thyroidectomy. Which of the following pieces of
equipment
the should
nurse have available at the bedside for this
client?
a. cardiac
monitor
b.
defibrillator
c. thoracotomy
tray
d. tracheostomy tray Correct answers
Tracheostomy tray
, -laryngeal edema is common after thyroidectomy, which can result in airway
obstruction
and emergency intubation can be difficult due to the swelling so a nurse
should have
this
tray
-thoracotomy = for chest tube
insertion
A nurse is planning dietary teaching for a client who has diabetes mellitus.
following
Which of theactions should the nurse plan to
take first?
a. obtain sample menus from the dietitian to give to
theask
b. client
the client to identify the types of food she
prefers
c. identify the recommended range of the client's blood
glucose
d. discusslevel
long-term complications that can result from non-adherence to
the dietary
plan Correct answers Ask the client to identify the types of food
she prefers
-Nursing process: assess, diagnosis, planning, implementation and
evaluation
A nurse is providing dietary teaching to a client who has late-stage
chronic kidney
disease (CKD). Which of the following nutrients should the nurse instruct
the clienther
increase to
diet?
a.
calcium
b.
phosphorus
c.
potassium
d. sodium Correct answers
Calcium
-CKD can cause hypocalcemia due to reduced production of vitamin D which
for calcium
is needed
absorption
-Clients with CKD can develop hyperphosphatemia, hyperkalemia and
hypernatremia
The nurse assesses a client who has new onset atrial fibrillation. The
ventricular
145 rate What
beats/min. is does the nurse expect to
observe?
a. head and neck
pain
b. bilateral lower extremity
swelling
c. distended jugular
d. dizziness and dyspnea Correct answers Dizziness and
veins
dyspnea
-uncontrolled atrial fibrillation can result in acute drop in cardiac output. s/s
are dizziness
and shortness of
breath
-bilateral lower swelling = high salt, stay in position too long, heart failure,
kidney failure,
et
c
-distended jugular signs of chronic heart failure, fluid overload, pulmonary
hypertension,
cardiac
tamponade
