NCLEX-RN Practice 100 Questions
• 1/100 Questions
For a client with a neurologic disorder, which of the following nursing
assessments is MOST helpful in determining subtle changes in the
client’s level of consciousness?
o
Client posturing.
o
Glasgow coma scale.
o
Client thinking pattern.
o
Occurrence of hallucinations.
Start
About This Quiz
,This NCLEX-RN Practice quiz features 100 questions designed to assess and enhance nursing knowledge and skills.
It covers critical aspects such as patient nutrition post-surgery, neurological assessments, signs of bulimia, and
medication administration, preparing learners for practical nursing challenges.
Quiz Preview
• 2.
The nurse assists a nursing assistant in providing a bed bath to a
comatose patient with incontinence. The nurse should intervene if
which of the following actions is noted?
o
The nursing assistant answers the phone while wearing gloves.
o
The nursing assistant log rolls the patient to provide back care.
o
, The nursing assistant places an incontinent pad under the patient.
o
The nursing assistant positions the patient on the left side, head
elevated.
Correct Answer
A. The nursing assistant answers the phone while wearing gloves.
Explanation
Strategy: "Nurse should intervene" indicates that you are looking for an
incorrect action.
(1) correct—contaminated gloves should be removed before answering
the phone
(2) correct way to roll a patient to maintain proper alignment
(3) appropriate to use incontinence pad for this patient
(4) appropriate position to prevent aspiration and protect the airway
Rate this question:
4
• 3.
The nurse cares for clients on a psychiatric unit and is suddenly faced
with multiple issues. Which of the following situations require the
nurse’s IMMEDIATE attention?
o
, A client with bipolar disorder walks into the day room in her
underwear and begins dancing.
o
A client with depression says to the nurse, "My plan is complete,
and I’m ready to go for it."
o
A client recovering from substance abuse complains that another
client is harassing him.
o
A client with schizophrenia tells the nurse that it’s "God’s will" that
he destroy the "evil TV."
Correct Answer
A. A client with depression says to the nurse, "My plan is complete, and
I’m ready to go for it."
Explanation
Strategy: "Require IMMEDIATE intervention" indicates that you are
looking for the least stable situation.
(1) should remove to quiet area, decrease environmental stimuli
(2) correct—could indicate impending suicide; requires immediate
follow-up
(3) potential suicide is more immediate concern
(4) command hallucination; potential suicide takes priority
• 1/100 Questions
For a client with a neurologic disorder, which of the following nursing
assessments is MOST helpful in determining subtle changes in the
client’s level of consciousness?
o
Client posturing.
o
Glasgow coma scale.
o
Client thinking pattern.
o
Occurrence of hallucinations.
Start
About This Quiz
,This NCLEX-RN Practice quiz features 100 questions designed to assess and enhance nursing knowledge and skills.
It covers critical aspects such as patient nutrition post-surgery, neurological assessments, signs of bulimia, and
medication administration, preparing learners for practical nursing challenges.
Quiz Preview
• 2.
The nurse assists a nursing assistant in providing a bed bath to a
comatose patient with incontinence. The nurse should intervene if
which of the following actions is noted?
o
The nursing assistant answers the phone while wearing gloves.
o
The nursing assistant log rolls the patient to provide back care.
o
, The nursing assistant places an incontinent pad under the patient.
o
The nursing assistant positions the patient on the left side, head
elevated.
Correct Answer
A. The nursing assistant answers the phone while wearing gloves.
Explanation
Strategy: "Nurse should intervene" indicates that you are looking for an
incorrect action.
(1) correct—contaminated gloves should be removed before answering
the phone
(2) correct way to roll a patient to maintain proper alignment
(3) appropriate to use incontinence pad for this patient
(4) appropriate position to prevent aspiration and protect the airway
Rate this question:
4
• 3.
The nurse cares for clients on a psychiatric unit and is suddenly faced
with multiple issues. Which of the following situations require the
nurse’s IMMEDIATE attention?
o
, A client with bipolar disorder walks into the day room in her
underwear and begins dancing.
o
A client with depression says to the nurse, "My plan is complete,
and I’m ready to go for it."
o
A client recovering from substance abuse complains that another
client is harassing him.
o
A client with schizophrenia tells the nurse that it’s "God’s will" that
he destroy the "evil TV."
Correct Answer
A. A client with depression says to the nurse, "My plan is complete, and
I’m ready to go for it."
Explanation
Strategy: "Require IMMEDIATE intervention" indicates that you are
looking for the least stable situation.
(1) should remove to quiet area, decrease environmental stimuli
(2) correct—could indicate impending suicide; requires immediate
follow-up
(3) potential suicide is more immediate concern
(4) command hallucination; potential suicide takes priority
