2024 (January) Nclex Practice
1. A nurse is caring for a client who has a depressed skull fracture of the
bone that makes up the larger part of the upper and side wall of the cranium.
This fracture is located on which of the following bones?
a.sphenoid
b.occipital
c.parietal
d.frontal: Parietal
-sphenoid forms part of face
-occipital is the back of the skull
-frontal is the front of the skull
2. What is the primary dietary alteration for a client who has heart failure?: -
Sodium Restriction
ex: turkey sandwich with whole-wheat bread
3. A nurse is caring for a clinet who has multiple sclerosis and is receiving
interferon beta-1a. The nurse should identify that which of the following
client statements indicates a potential adverse 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: My body aches all over
-adverse effects of interferon beta-1a include flu-like symptoms
4. A nurse is teaching a client with cystic fibrosis about daily chest
physiother- apy. Which of the following is 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: To mobilize secretions in the airways
- the purpose is to loosen and promote the drainage of secretions from
the lungs
5. A nurse is performing a nonstress test (NST) on a client who is at 41
weeks of gestation. The client asks what the purpse of the test is/ Which of
the following responses should the nurse provide?
a.this test will determine if you are likely to deliver within the next week
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,b.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: This test will
help 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
6. 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: Bleeding precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less
than
7. A nurse is teaching a female client who has pyelonephritis about the
disor- der. Which of the following pieces of information should the nurse
include to help the client prevent a recurrence?
a.douche after vaginal intercourse
b.wipe from front to back after defecation
c.avoid foods that are high in phosphate
d.add yogurt to your diet regularly: Wipe from front to back afte
defecation
-pyelonephritis (renal infection)
-phosphate can help kidney stones
-yogurt helps with genital tract infections
8. A nurse is accepting a transfer from the postanesthesia care unit (PACU)
of a client who has had a subtotal thyroidectomy. Which of the following
pieces of equipment should the nurse have available at the bedside for this
client?
,a.cardiac monitor
b.defibrillator
c.thoracotomy tray
, d.tracheostomy tray: Tracheostomy tray
-laryngeal edema is common after thyroidectomy, which can result in
airway obstruc- tion and emergency intubation can be difficult due to
the swelling so a nurse should have this tray
-thoracotomy = for chest tube insertion
9. A nurse is planning dietary teaching for a client who has diabetes
mellitus. Which of the following actions should the nurse plan to take first?
a.obtain sample menus from the dietitian to give to the client
b.ask the client to identify the types of food she prefers
c.identify the recommended range of the client's blood glucose level
d. discuss long-term complications that can result from non-adherence to
the dietary plan: Ask the client to identify the types of food she prefers
-Nursing process: assess, diagnosis, planning, implementation and
evaluation
10. 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 client to increase her diet?
a.calcium
b.phosphorus
c.potassium
d.sodium: Calcium
-CKD can cause hypocalcemia due to reduced production of vitamin D
which is needed for calcium absorption
-Clients with CKD can develop hyperphosphatemia, hyperkalemia and
hypernatrem- ia
11. The nurse assesses a client who has new onset atrial fibrillation. The
ventricular rate is 145 beats/min. What does the nurse expect to
observe?
a.head and neck pain
b.bilateral lower extremity swelling
c.distended jugular veins
d.dizziness and dyspnea: Dizziness and dyspnea
-uncontrolled atrial fibrillation can result in acute drop in cardiac output.
1. A nurse is caring for a client who has a depressed skull fracture of the
bone that makes up the larger part of the upper and side wall of the cranium.
This fracture is located on which of the following bones?
a.sphenoid
b.occipital
c.parietal
d.frontal: Parietal
-sphenoid forms part of face
-occipital is the back of the skull
-frontal is the front of the skull
2. What is the primary dietary alteration for a client who has heart failure?: -
Sodium Restriction
ex: turkey sandwich with whole-wheat bread
3. A nurse is caring for a clinet who has multiple sclerosis and is receiving
interferon beta-1a. The nurse should identify that which of the following
client statements indicates a potential adverse 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: My body aches all over
-adverse effects of interferon beta-1a include flu-like symptoms
4. A nurse is teaching a client with cystic fibrosis about daily chest
physiother- apy. Which of the following is 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: To mobilize secretions in the airways
- the purpose is to loosen and promote the drainage of secretions from
the lungs
5. A nurse is performing a nonstress test (NST) on a client who is at 41
weeks of gestation. The client asks what the purpse of the test is/ Which of
the following responses should the nurse provide?
a.this test will determine if you are likely to deliver within the next week
1/
42
,b.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: This test will
help 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
6. 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: Bleeding precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less
than
7. A nurse is teaching a female client who has pyelonephritis about the
disor- der. Which of the following pieces of information should the nurse
include to help the client prevent a recurrence?
a.douche after vaginal intercourse
b.wipe from front to back after defecation
c.avoid foods that are high in phosphate
d.add yogurt to your diet regularly: Wipe from front to back afte
defecation
-pyelonephritis (renal infection)
-phosphate can help kidney stones
-yogurt helps with genital tract infections
8. A nurse is accepting a transfer from the postanesthesia care unit (PACU)
of a client who has had a subtotal thyroidectomy. Which of the following
pieces of equipment should the nurse have available at the bedside for this
client?
,a.cardiac monitor
b.defibrillator
c.thoracotomy tray
, d.tracheostomy tray: Tracheostomy tray
-laryngeal edema is common after thyroidectomy, which can result in
airway obstruc- tion and emergency intubation can be difficult due to
the swelling so a nurse should have this tray
-thoracotomy = for chest tube insertion
9. A nurse is planning dietary teaching for a client who has diabetes
mellitus. Which of the following actions should the nurse plan to take first?
a.obtain sample menus from the dietitian to give to the client
b.ask the client to identify the types of food she prefers
c.identify the recommended range of the client's blood glucose level
d. discuss long-term complications that can result from non-adherence to
the dietary plan: Ask the client to identify the types of food she prefers
-Nursing process: assess, diagnosis, planning, implementation and
evaluation
10. 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 client to increase her diet?
a.calcium
b.phosphorus
c.potassium
d.sodium: Calcium
-CKD can cause hypocalcemia due to reduced production of vitamin D
which is needed for calcium absorption
-Clients with CKD can develop hyperphosphatemia, hyperkalemia and
hypernatrem- ia
11. The nurse assesses a client who has new onset atrial fibrillation. The
ventricular rate is 145 beats/min. What does the nurse expect to
observe?
a.head and neck pain
b.bilateral lower extremity swelling
c.distended jugular veins
d.dizziness and dyspnea: Dizziness and dyspnea
-uncontrolled atrial fibrillation can result in acute drop in cardiac output.
