NCLEX 10000 questions with correct answers
The best indicator that the client has learned how to give an insulin self-
injection correctly is when the client can:
a. perform the procedure safely and correctly
b. critique the nurse's performance of the procedure
c. explain all of the steps of the procedure correctly
d. correctly answer a post-test about the procedure Correct Answer-a -
the nurse should judge that learning has occurred from evidence of a
change I the client's behavior. A client who performs a procedure safely
and correctly demonstrates that he has acquired a skill. Evaluation of
this skill acquisition requires performance of that skill by the client with
observation by the nurse. The client must also demonstrate cognitive
understanding, as shown by the ability to critique the nurse's
performance. Explaining the steps demonstrates of knowledge at the
cognitive level only. A post-test does not indicate the degree to which
the client has learned a psychomotor skill.
A client has a herniated disk in the region of the third and fourth lumbar
vertebrae. Which nursing assessment finding most supports this
diagnosis?
a. hypoactive bowel sounds
b. severe lower back pain
c. sensory deficits in one arm
d. weakness and atrophy of the arm muscles Correct Answer-b - the
most common finding in a client with a herniated lumbar disk is severe
,lower back pain, which radiates to the buttocks, legs, and feet - usually
unilaterally. A herniated disk also may cause sensory and motor loss
(such as foot drop) in the area innervated by the compressed spinal nerve
root. During later stages, it may cause weakness and atrophy of leg
muscles. The condition doesn't affect bowel sounds or the arms.
The client with a hearing aid does not seem to be able to hear the nurse.
The nurse should do which of the following?
a. contact the client's audiologist
b. cleanse the hearing aid ear mold in normal saline
c. irrigate the ear canal
d. check the hearing aid's placement Correct Answer-d - inadequate
amplification can occur when a hearing aid is not place properly. The
certified audiologist is licensed to dispense hearing aids. The ear mold is
the only part of the hearing aid that may be wash frequently; it should be
washed daily with soap and water. Irrigation of the ear canal is done to
remove impacted cerumen or a foreign body
The physician ordered IV naloxone (Narcan) to reverse the respiratory
depression from morphine administration. After administration of the
naloxone the nurse should:
a. check respirations in 5 minutes because naxolone is immediately
effective in relieving respiratory depression
b. check respirations in 30 minutes because the effects of morphine will
have worn off by then
, c monitor respirations frequently for 4 to 6 hours because the client may
need repeated doses of naloxone
d. monitor respirations each time the client receives morphine sulfate 10
mg IM Correct Answer-c - the nurse should monitor the client's
respirations closely for 4 to 6 hours because naloxone has a shorter
duration of action than opioids. The client may need repeated doses of
naloxone to prevent or treat a recurrence of the respiratory depression.
Naloxone is usually effective in a few minutes; however, its effects last
only 1 to 2 hours and ongoing monitoring of the client's respiratory rate
will be necessary. The client's dosage of morphine will be decreased or a
new drug will be ordered to prevent another instance of respiratory
depression.
when caring for a client after a closed renal biopsy, the nurse should:
a. maintain the client on strict bed rest in a supine position for 6 hours
b. insert an indwelling catheter to monitor urine output
c. apply a sandbag to the biopsy site to prevent bleeding
d. administer IV opioid medications to promote comfort Correct
Answer-a - after a renal biopsy, the client is maintained on strict bed rest
in a supine position for at least 6 hours to prevent bleeding. If no
bleeding occurs, the client typically resumes general activity after 24
hours. Urine output is monitored, but an indwelling catheter is not
typically inserted. A pressure dressing is applied over the site, but a
sandbag is not necessary. Opioids to control pain would not be
anticipated; local discomfort at a biopsy site can be controlled with
analgesics.
, a nurse is caring for a client who required chest tube insertion for a
pneumothorax. To assess for pneumothorax resolution, the nurse can
anticipate that the client will require:
a. monitoring of arterial oxygen saturation (SaO2)
b. arterial blood gas (ABG) studies
c. chest auscultation
d. chest x ray Correct Answer-d - chest x ray confirms diagnosis by
revealing air or fluid in the pleural space. SaO2 values may initially
decrease with a pneumothorax but typically return to normal within 24
hours. ABG studies may show hypoxemia, possibly with respiratory
acidosis and hypercapnia but these are not necessarily related to a
pneumothorax. Chest auscultation will determine overall lung status, but
it's difficult to determine if the best has re-expanded sufficiently.
To prevent development of peripheral neuropathies associated with
isoniazid administration, the nurse should teach the client to:
a. avoid excessive sun exposure
b. follow a low-cholesterol diet
c. obtain extra rest
d. supplement the diet with pyridoxine (vitamin B6) Correct Answer-d -
isoniazid competes for the available vitamin B6 in the body and leaves
the client at risk for developing neuropathies related to vitamin
deficiency. Supplemental vitamin B6 is routinely prescribed to address
this issue. Avoiding sun exposure is a preventative measure to lower the
risk of skin cancer. Following a low-cholesterol diet lowers the
The best indicator that the client has learned how to give an insulin self-
injection correctly is when the client can:
a. perform the procedure safely and correctly
b. critique the nurse's performance of the procedure
c. explain all of the steps of the procedure correctly
d. correctly answer a post-test about the procedure Correct Answer-a -
the nurse should judge that learning has occurred from evidence of a
change I the client's behavior. A client who performs a procedure safely
and correctly demonstrates that he has acquired a skill. Evaluation of
this skill acquisition requires performance of that skill by the client with
observation by the nurse. The client must also demonstrate cognitive
understanding, as shown by the ability to critique the nurse's
performance. Explaining the steps demonstrates of knowledge at the
cognitive level only. A post-test does not indicate the degree to which
the client has learned a psychomotor skill.
A client has a herniated disk in the region of the third and fourth lumbar
vertebrae. Which nursing assessment finding most supports this
diagnosis?
a. hypoactive bowel sounds
b. severe lower back pain
c. sensory deficits in one arm
d. weakness and atrophy of the arm muscles Correct Answer-b - the
most common finding in a client with a herniated lumbar disk is severe
,lower back pain, which radiates to the buttocks, legs, and feet - usually
unilaterally. A herniated disk also may cause sensory and motor loss
(such as foot drop) in the area innervated by the compressed spinal nerve
root. During later stages, it may cause weakness and atrophy of leg
muscles. The condition doesn't affect bowel sounds or the arms.
The client with a hearing aid does not seem to be able to hear the nurse.
The nurse should do which of the following?
a. contact the client's audiologist
b. cleanse the hearing aid ear mold in normal saline
c. irrigate the ear canal
d. check the hearing aid's placement Correct Answer-d - inadequate
amplification can occur when a hearing aid is not place properly. The
certified audiologist is licensed to dispense hearing aids. The ear mold is
the only part of the hearing aid that may be wash frequently; it should be
washed daily with soap and water. Irrigation of the ear canal is done to
remove impacted cerumen or a foreign body
The physician ordered IV naloxone (Narcan) to reverse the respiratory
depression from morphine administration. After administration of the
naloxone the nurse should:
a. check respirations in 5 minutes because naxolone is immediately
effective in relieving respiratory depression
b. check respirations in 30 minutes because the effects of morphine will
have worn off by then
, c monitor respirations frequently for 4 to 6 hours because the client may
need repeated doses of naloxone
d. monitor respirations each time the client receives morphine sulfate 10
mg IM Correct Answer-c - the nurse should monitor the client's
respirations closely for 4 to 6 hours because naloxone has a shorter
duration of action than opioids. The client may need repeated doses of
naloxone to prevent or treat a recurrence of the respiratory depression.
Naloxone is usually effective in a few minutes; however, its effects last
only 1 to 2 hours and ongoing monitoring of the client's respiratory rate
will be necessary. The client's dosage of morphine will be decreased or a
new drug will be ordered to prevent another instance of respiratory
depression.
when caring for a client after a closed renal biopsy, the nurse should:
a. maintain the client on strict bed rest in a supine position for 6 hours
b. insert an indwelling catheter to monitor urine output
c. apply a sandbag to the biopsy site to prevent bleeding
d. administer IV opioid medications to promote comfort Correct
Answer-a - after a renal biopsy, the client is maintained on strict bed rest
in a supine position for at least 6 hours to prevent bleeding. If no
bleeding occurs, the client typically resumes general activity after 24
hours. Urine output is monitored, but an indwelling catheter is not
typically inserted. A pressure dressing is applied over the site, but a
sandbag is not necessary. Opioids to control pain would not be
anticipated; local discomfort at a biopsy site can be controlled with
analgesics.
, a nurse is caring for a client who required chest tube insertion for a
pneumothorax. To assess for pneumothorax resolution, the nurse can
anticipate that the client will require:
a. monitoring of arterial oxygen saturation (SaO2)
b. arterial blood gas (ABG) studies
c. chest auscultation
d. chest x ray Correct Answer-d - chest x ray confirms diagnosis by
revealing air or fluid in the pleural space. SaO2 values may initially
decrease with a pneumothorax but typically return to normal within 24
hours. ABG studies may show hypoxemia, possibly with respiratory
acidosis and hypercapnia but these are not necessarily related to a
pneumothorax. Chest auscultation will determine overall lung status, but
it's difficult to determine if the best has re-expanded sufficiently.
To prevent development of peripheral neuropathies associated with
isoniazid administration, the nurse should teach the client to:
a. avoid excessive sun exposure
b. follow a low-cholesterol diet
c. obtain extra rest
d. supplement the diet with pyridoxine (vitamin B6) Correct Answer-d -
isoniazid competes for the available vitamin B6 in the body and leaves
the client at risk for developing neuropathies related to vitamin
deficiency. Supplemental vitamin B6 is routinely prescribed to address
this issue. Avoiding sun exposure is a preventative measure to lower the
risk of skin cancer. Following a low-cholesterol diet lowers the
