NCLEX-PN Comprehensive Test
A four year old child is admitted to the hospital with suspected acute lymphocytic leukemia
(ALL). The nurse is familiar with that which diagnostic observe have to confirm this
diagnosis?
1. A platelet remember
2. A lumbar puncture
three. Bone marrow biopsy
4. White blood cellular (WBC) be counted - ANS-three. Bone marrow biopsy
A baby with leukemia is experiencing nausea related to medicinal drug remedy. The nurse,
worried about the kid's dietary popularity, must offer which during an episode of nausea?
1. Low-calorie foods
2. Cool, clear liquid
three. Low-protein ingredients
4. The toddler's favourite ingredients - ANS-2. Cool, clear liquid
A consumer asks the nurse approximately the reason of zits. The nurse should respond with
the aid of making which assertion to the patron?
1. "It is as a result of oily pores and skin"
2. "The specific purpose of pimples is not regarded"
three. "It is brought about because of publicity to warmth & humidity"
four. "Acne is as a result of eating chocolate, nuts, & fatty foods" - ANS-2. "The genuine
cause of pimples is not recognized"
A client enters the emergency branch harassed, twitching, & having seizures. His circle of
relatives states he lately became placed on corticosteroids for arthritis & changed into feeling
better & exercising daily. Upon evaluation, he has flushed pores and skin, dry mucous
membranes, an extended temperature, & terrible skin turgor. His serum sodium degree is
172 mEq/L. Which interventions might the health care issuer probable prescribe? Choose all
that practice.
1. Monitor the important symptoms
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte tiers
5. Provide a sodium-decreased weight-reduction plan
6. Administer sodium replacements - ANS-1. Monitor the critical symptoms
2. Monitor consumption & output
3. Increase water intake orally
four. Monitor the electrolyte tiers
5. Provide a sodium-reduced eating regimen
,A purchaser had an aortic valve alternative 2 days in the past. This morning the patron tells
the nurse " I do not experience any better than i did before surgical operation." Which
response by the nurse is most suitable?
1. "You will feel better in every week or 2"
2. "Its only the second one day submit op. Cheer up"
3. "This is a everyday frustration. It'll get higher"
4. "You are concerned that you do not experience any better after surgery" - ANS-four. "You
are involved which you don't feel any higher after surgical procedure"
A consumer has been placed in Buck's extension traction. Which approach by the nurse will
offer countertraction?
1. Using a footboard
2. Providing an overheard trapeze
three. Slightly elevating the foot of the mattress
four. Slightly elevating the head of the bed - ANS-three. Slightly elevating the foot of the bed
A client has had skeletal traction implemented to the right leg & has an overheard trapeze
available to be used. The nurse should reveal which as a high danger region for stress &
breakdown?
1. Scapulae
2. Left heel
3. Right heel
four. Back of the pinnacle - ANS-2. Left heel
A purchaser has just had a forged eliminated & the underlying pores and skin is yellow
brown & crusted. The nurse determines that further skin care commands are required if the
consumer makes which statement?
1. "I will soak the pores and skin & then wash it gently"
2. "I want to wash the skin vigorously with soap & water"
3. "I need to apply an emollient lotion to beautify softening"
four. "I want to use a sunscreen at the pores and skin if it'll be immediately exposed to the
solar" - ANS-2. "I want to clean the skin vigorously with soap & water"
A client is admitted to the medical institution with a prognosis of predominant depression.
During the admission interview, the nurse determines that a primary issue is the customer's
altered vitamins associated with poor nutritional consumption. Which nursing intervention
associated with altered nutrients need to be the initial choice?
1. Weigh the purchaser three times in keeping with week, earlier than breakfast.
2. Explain to the customer the importance of a very good nutritional intake
3. Report the dietary issue to the psychiatrist & reap a nutritional seek advice from as soon
as viable
, four. Offer the customer numerous small, common food every day, and agenda short nursing
interactions with the client all through these instances - ANS-four. Offer the patron several
small, frequent food daily, and time table brief nursing interactions with the client throughout
these times
A consumer is admitted to the health center with viable rheumatic endocarditis. The nurse
need to test for a records of which sort of infection?
1. Viral contamination
2. Yeast contamination
3. Streptococcal infection
4. Staphylococcal contamination - ANS-3. Streptococcal contamination
A patron is brought to the emergency department via the ambulance crew after crumble at
domestic. Cardiopulmonary resuscitation is attempted however is unsuccessful. The spouse
of the patron tells the nurse that the customer is an organ donor & that his eyes are to be
donated. Which movement should the nurse take next?
1. Place dry, sterile dressings over the eyes of the deceased
2. Call the National Donor Association to verify that the customer is a donor
3. Close the eyes, raise the pinnacle of the mattress, and vicinity a small ice p.C. On the
eyes
4. Ask the spouse to acquire the criminal files regarding organ donation from the legal
professional - ANS-three. Close the eyes, elevate the pinnacle of the mattress, and location
a small ice p.C. On the eyes
A purchaser is taking lansoprazole (Prevacid) for the continual management of
Zollinger-Ellison syndrome. If prescribed, which medicine might be suitable for the patron if
wanted for a headache?
1. Naprosyn (Aleve)
2. Ibuprofen (Advil)
3. Acetaminophen (Tylenol)
four. Acetylsalicylic acid (Aspirin) - ANS-3. Acetaminophen (Tylenol)
A client acquired 20 gadgets of NPH insulin subcutaneously at 8:00 am. The nurse should
test the client for a ability hypoglycemic reaction at which time?
1. Five:00 pm
2. 10:00 am
three. Eleven:00 am
four. Eleven:00 pm - ANS-1. Five:00 pm
A purchaser suspected of having an abdominal tumor is scheduled for a computed
tomography (CT) test with dye injection. The nurse have to tell the client which about the
check?
1. The test can be painful
A four year old child is admitted to the hospital with suspected acute lymphocytic leukemia
(ALL). The nurse is familiar with that which diagnostic observe have to confirm this
diagnosis?
1. A platelet remember
2. A lumbar puncture
three. Bone marrow biopsy
4. White blood cellular (WBC) be counted - ANS-three. Bone marrow biopsy
A baby with leukemia is experiencing nausea related to medicinal drug remedy. The nurse,
worried about the kid's dietary popularity, must offer which during an episode of nausea?
1. Low-calorie foods
2. Cool, clear liquid
three. Low-protein ingredients
4. The toddler's favourite ingredients - ANS-2. Cool, clear liquid
A consumer asks the nurse approximately the reason of zits. The nurse should respond with
the aid of making which assertion to the patron?
1. "It is as a result of oily pores and skin"
2. "The specific purpose of pimples is not regarded"
three. "It is brought about because of publicity to warmth & humidity"
four. "Acne is as a result of eating chocolate, nuts, & fatty foods" - ANS-2. "The genuine
cause of pimples is not recognized"
A client enters the emergency branch harassed, twitching, & having seizures. His circle of
relatives states he lately became placed on corticosteroids for arthritis & changed into feeling
better & exercising daily. Upon evaluation, he has flushed pores and skin, dry mucous
membranes, an extended temperature, & terrible skin turgor. His serum sodium degree is
172 mEq/L. Which interventions might the health care issuer probable prescribe? Choose all
that practice.
1. Monitor the important symptoms
2. Monitor intake & output
3. Increase water intake orally
4. Monitor the electrolyte tiers
5. Provide a sodium-decreased weight-reduction plan
6. Administer sodium replacements - ANS-1. Monitor the critical symptoms
2. Monitor consumption & output
3. Increase water intake orally
four. Monitor the electrolyte tiers
5. Provide a sodium-reduced eating regimen
,A purchaser had an aortic valve alternative 2 days in the past. This morning the patron tells
the nurse " I do not experience any better than i did before surgical operation." Which
response by the nurse is most suitable?
1. "You will feel better in every week or 2"
2. "Its only the second one day submit op. Cheer up"
3. "This is a everyday frustration. It'll get higher"
4. "You are concerned that you do not experience any better after surgery" - ANS-four. "You
are involved which you don't feel any higher after surgical procedure"
A consumer has been placed in Buck's extension traction. Which approach by the nurse will
offer countertraction?
1. Using a footboard
2. Providing an overheard trapeze
three. Slightly elevating the foot of the mattress
four. Slightly elevating the head of the bed - ANS-three. Slightly elevating the foot of the bed
A client has had skeletal traction implemented to the right leg & has an overheard trapeze
available to be used. The nurse should reveal which as a high danger region for stress &
breakdown?
1. Scapulae
2. Left heel
3. Right heel
four. Back of the pinnacle - ANS-2. Left heel
A purchaser has just had a forged eliminated & the underlying pores and skin is yellow
brown & crusted. The nurse determines that further skin care commands are required if the
consumer makes which statement?
1. "I will soak the pores and skin & then wash it gently"
2. "I want to wash the skin vigorously with soap & water"
3. "I need to apply an emollient lotion to beautify softening"
four. "I want to use a sunscreen at the pores and skin if it'll be immediately exposed to the
solar" - ANS-2. "I want to clean the skin vigorously with soap & water"
A client is admitted to the medical institution with a prognosis of predominant depression.
During the admission interview, the nurse determines that a primary issue is the customer's
altered vitamins associated with poor nutritional consumption. Which nursing intervention
associated with altered nutrients need to be the initial choice?
1. Weigh the purchaser three times in keeping with week, earlier than breakfast.
2. Explain to the customer the importance of a very good nutritional intake
3. Report the dietary issue to the psychiatrist & reap a nutritional seek advice from as soon
as viable
, four. Offer the customer numerous small, common food every day, and agenda short nursing
interactions with the client all through these instances - ANS-four. Offer the patron several
small, frequent food daily, and time table brief nursing interactions with the client throughout
these times
A consumer is admitted to the health center with viable rheumatic endocarditis. The nurse
need to test for a records of which sort of infection?
1. Viral contamination
2. Yeast contamination
3. Streptococcal infection
4. Staphylococcal contamination - ANS-3. Streptococcal contamination
A patron is brought to the emergency department via the ambulance crew after crumble at
domestic. Cardiopulmonary resuscitation is attempted however is unsuccessful. The spouse
of the patron tells the nurse that the customer is an organ donor & that his eyes are to be
donated. Which movement should the nurse take next?
1. Place dry, sterile dressings over the eyes of the deceased
2. Call the National Donor Association to verify that the customer is a donor
3. Close the eyes, raise the pinnacle of the mattress, and vicinity a small ice p.C. On the
eyes
4. Ask the spouse to acquire the criminal files regarding organ donation from the legal
professional - ANS-three. Close the eyes, elevate the pinnacle of the mattress, and location
a small ice p.C. On the eyes
A purchaser is taking lansoprazole (Prevacid) for the continual management of
Zollinger-Ellison syndrome. If prescribed, which medicine might be suitable for the patron if
wanted for a headache?
1. Naprosyn (Aleve)
2. Ibuprofen (Advil)
3. Acetaminophen (Tylenol)
four. Acetylsalicylic acid (Aspirin) - ANS-3. Acetaminophen (Tylenol)
A client acquired 20 gadgets of NPH insulin subcutaneously at 8:00 am. The nurse should
test the client for a ability hypoglycemic reaction at which time?
1. Five:00 pm
2. 10:00 am
three. Eleven:00 am
four. Eleven:00 pm - ANS-1. Five:00 pm
A purchaser suspected of having an abdominal tumor is scheduled for a computed
tomography (CT) test with dye injection. The nurse have to tell the client which about the
check?
1. The test can be painful
