NCLEX-RN Practice Review Test.

NCLEX-RN Practice Review Test. 1. The nurse is interviewing a client who is being treated 3. for obsessive-compulsive disorder (OCD). Which of the following is the most important question the nurse should ask this client? 1. "Do you find yourself forgetting simple things?" 2. "Do you find it hard to stay on a task?" 3. "Do you have trouble controlling upsetting thoughts?" 4. "Do you experience feelings of panic in a closed area?" 2. Which of the following actions by the nurse would be 2. considered negligence? 1. Obtaining a Guthrie blood test on a 4-day-old infant 2. Massaging lotion on the abdomen of a 3-year-old diagnosed with Wilms' tumor 3. Instructing a 5-year-old asthmatic to blow on a pin- wheel 4. Playing kickball with a 10-year-old with juvenile arthritis ( JA) 3. The nurse on a postpartum unit is preparing 4 clients 4. for discharge. It would be MOST important for the nurse to refer which of the following clients for home care? 1. A 15-year-old primipara who delivered 7-lb. male 2 days ago 2. An 18-year-old multipara who delivered a 9-lb. fe- male by cesarean section 2 days ago 3. A 20-year-old multipara who delivered 1 day ago and is reporting cramping 4. A 22-year-old who delivered by cesarean section and is reporting burning on urination 4. A client is telling the nurse about his perception of his 4. thought patterns. Which of the following statements by the client would validate the diagnosis of schizo- phrenia 1. "I can't get the same thoughts out of my head." 2. "I know I sometimes feel on top of the world, then suddenly down." 3. "Sometimes I look up and wonder where I am." 4. "It's clear that this is an alien laboratory and I am in charge" 5. A nursing team consists of an RN, an LPN/LVN, and an 1. NAP. The nurse should assign which of the following clients to the LPN/LVN? 1. A 72-year-old client with diabetes who requires a dressing change for a stasis ulcer 2. A 42-year-old client with cancer of the bone report- ing pain 3. A 55-year-old client with terminal cancer being transferred to hospice home care 4. A 23-year-old client with a fracture of the right leg who asks to use the urinal 6. To determine the structural relationship of one hospi- 1. tal department with another, the nurse should consult which of the following? 1. Organizational chart 2. Job descriptions 3. Personnel policies 4. Policies and procedures manual 7. A client reports pain in his right lower extremity. The physician orders codeine60 mg and aspirin grains X PO every 4 hours, as needed for pain. Each codeine tablet contains 15 mg of codeine. Each aspirin tablet contains 325 mg of aspirin. Which of the following should the nurse administer? 1. 2 codeine tablets and 4 aspirin tablets 2. 4 codeine tablets and 3 aspirin tablets 3. 4 codeine tablets and 2 aspirin tablets 4. 3 codeine tablets and 3 aspirin tablets 8. The nurse is leading an in service about management issues. The nurse would intervene if another nurse made which of the following statements? (1) "It is my responsibility to ensure that the consent form has been signed and attached to the client's chart prior to surgery."- describes the nurse's responsibility (2) "It is my responsibility to witness the signature of the client before surgery is performed." (3) "It is my responsibility to provide a detailed descrip- tion of the surgery." (4) "It is my responsibility to answer questions that the client may have prior to surgery." 3. (3) 9. A nurse in the outpatient clinic evaluates the Mantoux 4. test of a client whose history indicates that she has been treated during the past year for an AIDS- related infection. The nurse should document that there was a positive reaction if there is an area of induration