NCLEX Practice Exam 1- /40 questions and
answers.
which of the following dietary choices should be avoided by a client with a recent
bone marrow transplant? ---correct answers--- raw
which of the following statements regarding wound healing is correct? ---
correct answers--- healing by second intention results in excessive scar
formation
which one of the following rights is included in the patient's bill of rights? ---
correct answers--- the right to expect reasonable continuity of care
while assessing a client with AIDS, the nurse notes a reddish-purple discoloration
on the client's eyelid. this finding is most consistent with: ---correct answers--
- Kaposi's sarcoma
while assessing a pre-op client, the nurse learns that the client is allergic to
shellfish. how might this data affect the client's surgical experience? ---correct
answers--- the physician might need to alter the type of skin preparation used
while assisting a client with AM care, the nurse notes small elevated skin lesions
less than 0.5 cm in diameter over the client's back. the nurse should describe the
lesions as: ---correct answers--- papules
while caring for a child who had a revision of a ventriculoperitoneal shunt, the
nurse notes clear drainage from the incision. which of the following actions
should the nurse take first? ---correct answers--- check the dressing for the
presence of glucose with a dextrostik.
While caring for a client with a pulmonary embolus, the nurse notes several
petechiae on his chest & abdomen. which action should the nurse take first? ---
correct answers--- report the finding to the physician
while installing electrical wiring in the ICU. the workmen start an electrical fire.
the nurse's first action when caring for a ventilator-dependent client should be to:
---correct answers--- remove the client & ambu
while monitoring the urine specific gravity of a client with a head injury, the nurse
notes that the client's specific gravity is 1.004. the most likely explanation for this
finding is: ---correct answers--- the client is experiencing diabetes insipidus
, when describing the correct way for cleansing a wound site, the nurse
understands that the wound should be cleaned: ---correct answers--- W/
circular motions from the drainage site to the outermost edges
when writing in the client's chart, the nurse makes an error in documentation. the
nurse should: ---correct answers--- draw a single line through the entry &
initial
which client should be assigned to the licensed practical nurse? ---correct
answers--- the client who has a cast applied for the treatment of a fractured
femur
which clients can be assigned to share the same room? ---correct answers---
the client scheduled for a hysterectomy & the client W/ a tubal ligation
which finding is commonly noted in the client with bladder cancer? ---correct
answers--- painless hematuria
which is an expected finding in the normal newborn? ---correct answers---
acrocyanosis
which nursing intervention is most critical during the administration of acyclovir
(zovirax)? ---correct answers--- encourage fluids
which of the following activities is most suitable for a 10 y/o with asthma? ---
correct answers--- swimming
which of the following activities would be best tolerated by a client with muscular
dystrophy? ---correct answers--- swimming
which of the following clients is at highest risk for developing sarcordosis? ---
correct answers--- a 30-year-old African-American who is pregnant
which of the following describes the proximodistal development in the infant? ---
correct answers--- the infant can control movements of his arms before he
can control movements of his fingers
, a 14 month old is receiving digoxin (lanoxin) and Lasix (furosemide) twice a day.
in planning his care, the nurse should assess for which complication? ---
correct answers--- hypokalemia
a 15 year old hospitalized with sarcoma is being treated with adiramycin
(doxorubicin). which action by the nurse is most important for the client taking
adriamycin (doxorubicin)? ---correct answers--- the nurse implements
isolation precautions
a 15-month old continually turns his cup upside down and shakes milk from the
spout. the mother is convinced that he does this on purpose and asks the nurse
what she should do. the nurse's response should be guided by the knowledge
that: ---correct answers--- manipulation of objects in their environment
enables the toddler to learn about spatial relationships
a 2 year old is hospitalized with gastroenteritis and dehydration. which of the
following methods is best for evaluating changes in skin turgor? ---correct
answers--- pinching the abdominal tissue while the client is supine
a 28 y/o client is being treated with acute pelvic inflammatory disease. which of
the following positions will afford the most comfort for this client? ---correct
answers--- semi-fowler's
a 28 year old primigravida with gestational diabetes visits the clinic 6 weeks
gestation. which of the following statements indicates that she understands the
nurse's teaching regarding her insulin needs during pregnancy? ---correct
answers--- "changes in hormone levels will make my body more resistant to
insulin, so i will need more insulin as the pregnancy progresses."
a 34- year old male is admitted to the hospital with a possible diagnosis of
pheochromocytoma. which of the following symptoms would the nurse not expect
to see during an attack? ---correct answers--- bradycardia
a 56 y/o male is admitted with a diagnosis of GERD. the client is most likely to
report esophageal discomfort following a meal of: ---correct answers---
hamburger, peas, and cola
a 6 month old has been hospitalized for the treatment of acute diarrhea.
discharge diet includes the use of isomil instead of similax formula until the next
clinic appointment. which of the following statements explains the change in
infant formula? ---correct answers--- infants commonly have lactose
intolerance after a diarrheal illness
a 6 month old is brought to the ER by her mother. during the assessment, the
nurse finds multiple bruises in different stages of healing and decreased range of
answers.
which of the following dietary choices should be avoided by a client with a recent
bone marrow transplant? ---correct answers--- raw
which of the following statements regarding wound healing is correct? ---
correct answers--- healing by second intention results in excessive scar
formation
which one of the following rights is included in the patient's bill of rights? ---
correct answers--- the right to expect reasonable continuity of care
while assessing a client with AIDS, the nurse notes a reddish-purple discoloration
on the client's eyelid. this finding is most consistent with: ---correct answers--
- Kaposi's sarcoma
while assessing a pre-op client, the nurse learns that the client is allergic to
shellfish. how might this data affect the client's surgical experience? ---correct
answers--- the physician might need to alter the type of skin preparation used
while assisting a client with AM care, the nurse notes small elevated skin lesions
less than 0.5 cm in diameter over the client's back. the nurse should describe the
lesions as: ---correct answers--- papules
while caring for a child who had a revision of a ventriculoperitoneal shunt, the
nurse notes clear drainage from the incision. which of the following actions
should the nurse take first? ---correct answers--- check the dressing for the
presence of glucose with a dextrostik.
While caring for a client with a pulmonary embolus, the nurse notes several
petechiae on his chest & abdomen. which action should the nurse take first? ---
correct answers--- report the finding to the physician
while installing electrical wiring in the ICU. the workmen start an electrical fire.
the nurse's first action when caring for a ventilator-dependent client should be to:
---correct answers--- remove the client & ambu
while monitoring the urine specific gravity of a client with a head injury, the nurse
notes that the client's specific gravity is 1.004. the most likely explanation for this
finding is: ---correct answers--- the client is experiencing diabetes insipidus
, when describing the correct way for cleansing a wound site, the nurse
understands that the wound should be cleaned: ---correct answers--- W/
circular motions from the drainage site to the outermost edges
when writing in the client's chart, the nurse makes an error in documentation. the
nurse should: ---correct answers--- draw a single line through the entry &
initial
which client should be assigned to the licensed practical nurse? ---correct
answers--- the client who has a cast applied for the treatment of a fractured
femur
which clients can be assigned to share the same room? ---correct answers---
the client scheduled for a hysterectomy & the client W/ a tubal ligation
which finding is commonly noted in the client with bladder cancer? ---correct
answers--- painless hematuria
which is an expected finding in the normal newborn? ---correct answers---
acrocyanosis
which nursing intervention is most critical during the administration of acyclovir
(zovirax)? ---correct answers--- encourage fluids
which of the following activities is most suitable for a 10 y/o with asthma? ---
correct answers--- swimming
which of the following activities would be best tolerated by a client with muscular
dystrophy? ---correct answers--- swimming
which of the following clients is at highest risk for developing sarcordosis? ---
correct answers--- a 30-year-old African-American who is pregnant
which of the following describes the proximodistal development in the infant? ---
correct answers--- the infant can control movements of his arms before he
can control movements of his fingers
, a 14 month old is receiving digoxin (lanoxin) and Lasix (furosemide) twice a day.
in planning his care, the nurse should assess for which complication? ---
correct answers--- hypokalemia
a 15 year old hospitalized with sarcoma is being treated with adiramycin
(doxorubicin). which action by the nurse is most important for the client taking
adriamycin (doxorubicin)? ---correct answers--- the nurse implements
isolation precautions
a 15-month old continually turns his cup upside down and shakes milk from the
spout. the mother is convinced that he does this on purpose and asks the nurse
what she should do. the nurse's response should be guided by the knowledge
that: ---correct answers--- manipulation of objects in their environment
enables the toddler to learn about spatial relationships
a 2 year old is hospitalized with gastroenteritis and dehydration. which of the
following methods is best for evaluating changes in skin turgor? ---correct
answers--- pinching the abdominal tissue while the client is supine
a 28 y/o client is being treated with acute pelvic inflammatory disease. which of
the following positions will afford the most comfort for this client? ---correct
answers--- semi-fowler's
a 28 year old primigravida with gestational diabetes visits the clinic 6 weeks
gestation. which of the following statements indicates that she understands the
nurse's teaching regarding her insulin needs during pregnancy? ---correct
answers--- "changes in hormone levels will make my body more resistant to
insulin, so i will need more insulin as the pregnancy progresses."
a 34- year old male is admitted to the hospital with a possible diagnosis of
pheochromocytoma. which of the following symptoms would the nurse not expect
to see during an attack? ---correct answers--- bradycardia
a 56 y/o male is admitted with a diagnosis of GERD. the client is most likely to
report esophageal discomfort following a meal of: ---correct answers---
hamburger, peas, and cola
a 6 month old has been hospitalized for the treatment of acute diarrhea.
discharge diet includes the use of isomil instead of similax formula until the next
clinic appointment. which of the following statements explains the change in
infant formula? ---correct answers--- infants commonly have lactose
intolerance after a diarrheal illness
a 6 month old is brought to the ER by her mother. during the assessment, the
nurse finds multiple bruises in different stages of healing and decreased range of
