NCSBN NCLEX Exam Preview
Questions and Answers6
The long-term care facility is caring for a 19-year-old client. The nurse has collected data from
the client. Which of the following would require immediate follow-up? - ANSWERS-Pulse,
respirations, diaphoresis, and blood pressure
The nurse has reviewed the collected data from the Nurses' Notes at 11:15 with the registered
nurse. The nurse should recognize that the client is potentially experiencing... - ANSWERS-fecal
impaction and autonomic dysreflexia
The nurse has reviewed the Nurses' Notes from 11:30 and has collaborated with the registered
nurse. The nurse should recognize that the client is most likely experiencing... - ANSWERS-
autonomic dysreflexia
The long-term care facility is caring for a 19-year-old client. For each potential nursing
intervention, click to specify if the intervention is indicated or not indicated. The indicated
potential nursing interventions include: - ANSWERS-Removing the client's low-top athletic shoes
and informing the client that the Crede method will be performed.
The long-term care facility is caring for a 19-year-old client. For each potential nursing
intervention, click to specify if the intervention is indicated or not indicated. The potential
nursing interventions that have not been indicated include: - ANSWERS-Placing the client in the
left lateral position and requesting a prescription for an over-the-counter (OTC) laxative.
symptoms of hypothyroidism - ANSWERS-Bradycardia; cold intolerance; lethargy; memory loss;
dry skin; brittle dry hair; decreased appetite; weight gain; constipation; increased serum lipids;
decreased libido; erectile dysfunction
, symptoms of hyperthyroidism - ANSWERS-Tachycardia; heat intolerance; fatigue; restlessness;
tremor; emotional instability; insomnia; warm, moist skin; increased appetite, weight loss;
frequent stools; decreased serum lipids; decreased libido; erectile dysfunction
The nurse is assisting with the admission of a client who is scheduled for a colon resection.
Which of the following statements made by the client would be most important for the nurse to
clarify? - ANSWERS-I usually have a few glasses of wine in the evening.
Enoxaprin - ANSWERS-comes in a prefilled syringe from the manufacturer. To ensure complete
medication delivery, the air bubble should not be expelled prior to unsection.
The nurse is caring for a client who is scheduled to have an arterial blood gas (ABG) sample
obtained. Which of the following tests should the nurse anticipate will be performed prior to
the procedure? - ANSWERS-Allen test
What is the Allen Test? - ANSWERS-A test that determines the patency of the radial and ulnar
arteries by compressing one artery site and observing return of skin color as evidence of
patency of the other artery
The nurse is contributing to a staff education program about client confidentiality. Which of the
following information should the nurse suggest including? - ANSWERS-1. Unneeded computer-
generated worksheets must be shredded at the end of the shift to ensure client confidentiality.
2. Personal computer passwords may not be shared with anyone, including other members of
the client's health care team.
3. Keep your voice low when speaking with the client because direct interactions with clients
must be kept as private as possible.
The charge nurse in a long-term care facility has been advised that the following assigned clients
will be admitted during the shift. The charge nurse should assign the only available private room
to the client with - ANSWERS-A positive varicella-zoster titer (which leads to an airborne
precaution)
Questions and Answers6
The long-term care facility is caring for a 19-year-old client. The nurse has collected data from
the client. Which of the following would require immediate follow-up? - ANSWERS-Pulse,
respirations, diaphoresis, and blood pressure
The nurse has reviewed the collected data from the Nurses' Notes at 11:15 with the registered
nurse. The nurse should recognize that the client is potentially experiencing... - ANSWERS-fecal
impaction and autonomic dysreflexia
The nurse has reviewed the Nurses' Notes from 11:30 and has collaborated with the registered
nurse. The nurse should recognize that the client is most likely experiencing... - ANSWERS-
autonomic dysreflexia
The long-term care facility is caring for a 19-year-old client. For each potential nursing
intervention, click to specify if the intervention is indicated or not indicated. The indicated
potential nursing interventions include: - ANSWERS-Removing the client's low-top athletic shoes
and informing the client that the Crede method will be performed.
The long-term care facility is caring for a 19-year-old client. For each potential nursing
intervention, click to specify if the intervention is indicated or not indicated. The potential
nursing interventions that have not been indicated include: - ANSWERS-Placing the client in the
left lateral position and requesting a prescription for an over-the-counter (OTC) laxative.
symptoms of hypothyroidism - ANSWERS-Bradycardia; cold intolerance; lethargy; memory loss;
dry skin; brittle dry hair; decreased appetite; weight gain; constipation; increased serum lipids;
decreased libido; erectile dysfunction
, symptoms of hyperthyroidism - ANSWERS-Tachycardia; heat intolerance; fatigue; restlessness;
tremor; emotional instability; insomnia; warm, moist skin; increased appetite, weight loss;
frequent stools; decreased serum lipids; decreased libido; erectile dysfunction
The nurse is assisting with the admission of a client who is scheduled for a colon resection.
Which of the following statements made by the client would be most important for the nurse to
clarify? - ANSWERS-I usually have a few glasses of wine in the evening.
Enoxaprin - ANSWERS-comes in a prefilled syringe from the manufacturer. To ensure complete
medication delivery, the air bubble should not be expelled prior to unsection.
The nurse is caring for a client who is scheduled to have an arterial blood gas (ABG) sample
obtained. Which of the following tests should the nurse anticipate will be performed prior to
the procedure? - ANSWERS-Allen test
What is the Allen Test? - ANSWERS-A test that determines the patency of the radial and ulnar
arteries by compressing one artery site and observing return of skin color as evidence of
patency of the other artery
The nurse is contributing to a staff education program about client confidentiality. Which of the
following information should the nurse suggest including? - ANSWERS-1. Unneeded computer-
generated worksheets must be shredded at the end of the shift to ensure client confidentiality.
2. Personal computer passwords may not be shared with anyone, including other members of
the client's health care team.
3. Keep your voice low when speaking with the client because direct interactions with clients
must be kept as private as possible.
The charge nurse in a long-term care facility has been advised that the following assigned clients
will be admitted during the shift. The charge nurse should assign the only available private room
to the client with - ANSWERS-A positive varicella-zoster titer (which leads to an airborne
precaution)
