NCLEX Complete Written Practice Exam.

NCLEX Complete Written Practice Exam. 1. A nurse is caring for a client who has a depressed skull fracture of the bone that makes up the larger part of the Parietal -sphenoid forms part of face upper and side wall of the cranium. This -occipital is the back of the skull fracture is located on which of the fol- lowing bones? a. sphenoid b. occipital c. parietal d. frontal 2. What is the primary dietary alteration for a client who has heart failure? 3. A nurse is caring for a clinet who has multiple sclerosis and is receiving inter- -frontal is the front of the skull Sodium Restriction ex: turkey sandwich with whole-wheat bread My body aches all over feron beta-1a. The nurse should identify -adverse ettects of interferon beta-1a include that which of the following client state- ments indicates a potential adverse ef- fect of the medication? a. my body aches all over b. i have abdominal cramping c. my hair seems to be thinning d. it hurts when i urinate flu-like symptoms 4. A nurse is teaching a client with cystic fi- To mobilize secretions in the airways brosis about daily chest physiotherapy. Which of the following is the purpose of - the purpose is to loosen and promote the these treatments? a. to encourage deep breaths drainage of secretions from the lungs b. to mobilize secretions in the airways c. to dilate the bronchioles d. to stimulate the cough reflex 5. A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The client asks what the purpse of the test is/ Which of the fol- This test will help determine if your baby is healthy - This NST is used as a prenatal fetal assessment, lowing responses should the nurse pro- it tracks fetal heart rate patterns expected with fe- vide? a. this test will determine if you are likely to deliver within the next week b. this test will help determine if your baby is healthy c. this test can see how you baby re- sponds when you have contractions d. this test will determine if you're baby's lungs are mature 6. A nurse cares for a client receiving chemotherapy. The latest blood work shows: platelet count 18,000/mm3 WBC count of 5,000/mm3 Which intervention does the nurse im- plement? a. respiratory transmission precau- tions b. contact transmission precautions tal movement and can help identify fetal distress Bleeding precautions -normal platelet count is 150,000-400,000/mm3 bleeding precautions should be implemented with a platelet count less than c. bleeding precautions d. neutropenic precautions 7. A nurse is teaching a female client who has pyelonephritis about the disorder. Which of the following pieces of infor- Wipe from front to back after defecation -pyelonephritis (renal infection) mation should the nurse include to help -phosphate can help kidney stones the client prevent a recurrence? a. douche after vaginal intercourse b. wipe from front to back after defeca- tion c. avoid foods that are high in phos- phate d. add yogurt to your diet regularly 8. A nurse is accepting a transfer from -yogurt helps with genital tract infections Tracheostomy tray the postanesthesia care unit (PACU) of a -laryngeal edema is common after thyroidecto- client who has had a subtotal thyroidec- my, which can result in airway obstruction and tomy. Which of the following pieces of emergency intubation can be diflcult due to the equipment should the nurse have avail- swelling so a nurse should have this tray able at the bedside for this client? a. cardiac monitor b. defibrillator c. thoracotomy tray d. tracheostomy tray 9. A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first? -thoracotomy = for chest tube insertion Ask the client to identify the types of food she prefers -Nursing process: assess, diagnosis, planning, implementation and evaluation