Bonus NCLEX RN Practice Exam Remar
The nurse plans care for a 36-year-old woman with Graves' disease. The nurse knows that
which of the following foods or fluids should be restricted for this client?
A. Ice cream
B. tea
C. Orange Juice
D. Pasta - ANSb.
Great job! Tea is a stimulant and should not be given to the client with hyperthyroidism.
The nurse is caring for postpartum clients who had vaginal deliveries within the last six hours.
Who should the nurse assess first?
A client who has pulse of 76 beats per min
The client who has staurated one pernial pad in two hours
THe client who reports swelling in her left calf
The client who asks about the circumsion procedure of her son - ANSD
Reports of swelling in the calf 6-10 hours postpartum may be suggestive of the development of
a deep vein thrombosis, a potentially life threatening condition. Immediate intervention is
needed.
A 47-year-old patient is admitted to the intensive care unit with complications from a stroke 10
hours ago. The stroke was caused by a dislodged clot. The nurse anticipates seeing which of
the following on the client's electrocardiogram strip?
V Tach
Nomral sinus rhtym
A fib
V Fib - ANSA fib
; Great job! Patients with atrial fibrillation are at a high risk for clot formation, these clots can
dislodge and travel to the brain.
A nurse is working on a long term care unit and is caring for a client on parenteral nutrition. The
nurse notices the supplement feeding bag is running low. What fluid should she have on hand?
a. 10 % dextrose
b. 5% dextrose
, c. 0.9 NS with dextrose added
d. 45% glucose and water - ANSa.
Great job! 10% Dextrose is the only acceptable replacement for TPN.
A client has just lost an arm in a motor vehicle accident. The client was medicated for pain and
tells the nurse. "I was so scared from the pain, I didn't think I was going to make it." Which is the
best response by the nurse?
you always have medication avaiable do not be afraid of pain
I undestand that pain can be frighetning experince
why did you think you were going to die?
Please take the medcaition before you upset yourself more - ANSB
Great job! I understand that pain can be a frightening experience is the most therapeutic
answer. The nurse should never ask a patient why.
A client has been taking imipramine for his depression for 4 days. His wife asks the nurse "Why
is he still so depressed?" Which of the following responses by the nurse is most appropriate?
- lets look over this chart to see if there are possible drug interactions
- it takes 2-4 wewks for the medication to reach its full ecfect
- the severity of the dpression will determine how soon the medicaiton works
I will have the physcican speak with you concerning this medicaton - ANSGreat job! It takes 2-4
weeks for the drug to reach its full effect. Long term medications usually take a some time to
start working.
A nursing working in a local community clinic has received report on four clients who should she
see first?
1. a 15 year old with chicken pox and cannot attend school
2. a 22 year old, pregnant, unemployed and has active pulmonary tuberculosis
3. a 32 old client in a recovery from heroine addiction
4. a 78 with moderate alzheimers disease living in a nursing facility. - ANS2.Great job! This
client's care requires immediate attention. The pregnant client needs to be given antibiotics and
education on how to prevent spreading the disease.
The nurse is teaching a group of parents about the expected growth and development of three
year old children. Which of the following activities should be expected?
a. ride a tricyle indepdendtly
The nurse plans care for a 36-year-old woman with Graves' disease. The nurse knows that
which of the following foods or fluids should be restricted for this client?
A. Ice cream
B. tea
C. Orange Juice
D. Pasta - ANSb.
Great job! Tea is a stimulant and should not be given to the client with hyperthyroidism.
The nurse is caring for postpartum clients who had vaginal deliveries within the last six hours.
Who should the nurse assess first?
A client who has pulse of 76 beats per min
The client who has staurated one pernial pad in two hours
THe client who reports swelling in her left calf
The client who asks about the circumsion procedure of her son - ANSD
Reports of swelling in the calf 6-10 hours postpartum may be suggestive of the development of
a deep vein thrombosis, a potentially life threatening condition. Immediate intervention is
needed.
A 47-year-old patient is admitted to the intensive care unit with complications from a stroke 10
hours ago. The stroke was caused by a dislodged clot. The nurse anticipates seeing which of
the following on the client's electrocardiogram strip?
V Tach
Nomral sinus rhtym
A fib
V Fib - ANSA fib
; Great job! Patients with atrial fibrillation are at a high risk for clot formation, these clots can
dislodge and travel to the brain.
A nurse is working on a long term care unit and is caring for a client on parenteral nutrition. The
nurse notices the supplement feeding bag is running low. What fluid should she have on hand?
a. 10 % dextrose
b. 5% dextrose
, c. 0.9 NS with dextrose added
d. 45% glucose and water - ANSa.
Great job! 10% Dextrose is the only acceptable replacement for TPN.
A client has just lost an arm in a motor vehicle accident. The client was medicated for pain and
tells the nurse. "I was so scared from the pain, I didn't think I was going to make it." Which is the
best response by the nurse?
you always have medication avaiable do not be afraid of pain
I undestand that pain can be frighetning experince
why did you think you were going to die?
Please take the medcaition before you upset yourself more - ANSB
Great job! I understand that pain can be a frightening experience is the most therapeutic
answer. The nurse should never ask a patient why.
A client has been taking imipramine for his depression for 4 days. His wife asks the nurse "Why
is he still so depressed?" Which of the following responses by the nurse is most appropriate?
- lets look over this chart to see if there are possible drug interactions
- it takes 2-4 wewks for the medication to reach its full ecfect
- the severity of the dpression will determine how soon the medicaiton works
I will have the physcican speak with you concerning this medicaton - ANSGreat job! It takes 2-4
weeks for the drug to reach its full effect. Long term medications usually take a some time to
start working.
A nursing working in a local community clinic has received report on four clients who should she
see first?
1. a 15 year old with chicken pox and cannot attend school
2. a 22 year old, pregnant, unemployed and has active pulmonary tuberculosis
3. a 32 old client in a recovery from heroine addiction
4. a 78 with moderate alzheimers disease living in a nursing facility. - ANS2.Great job! This
client's care requires immediate attention. The pregnant client needs to be given antibiotics and
education on how to prevent spreading the disease.
The nurse is teaching a group of parents about the expected growth and development of three
year old children. Which of the following activities should be expected?
a. ride a tricyle indepdendtly
