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NCLEX Practice Test: Health Promotion and Maintenance
1. A 20-year-old client has just given birth. The baby looks healthy, with the exception of giving a grimace instead of a cry. Which of the following would the nurse expect the obstetrician to say?
1. “The APGAR score is 3.”
2. “The APGAR score is 6.”
3. “The APGAR score is 9.”
4. “The APGAR score is 12.”
2. The outpatient client is postmenopausal. In discussing breast self-examination, which of the following should the nurse let the client know that she can do?
1. Switch to an annual schedule, because she does not have periods.
2. Discontinue self-examination, because hormone changes decrease her risks.
3. Wait until her mammogram shows some findings.
4. Continue to palpate monthly, picking her own meaningful date.
3. A client with acne has been using isotretinoin (Accutane). She tells the nurse that she recently learned she is pregnant. She asks “Will my pregnancy interfere with the medication’s effectiveness?” Which of the following is the appropriate response by the nurse?
1. “The medication is contraindicated for pregnant women.”
2. “You will have to change the route of administration, because you are pregnant.”
3. “There is no reason you can’t continue taking it.”
4. “If the medication helps you look better, that will help feel better about yourself.”
4. The nurse is preparing for a women’s health fair. The nurse knows that which of the following is correct when teaching about the risks and benefits of hormone replacement therapy (HRT)?
1. HRT is related to a decreased risk of deep vein thrombosis (DVT).
2. HRT is related to an increased risk for coronary artery disease (CAD).
3. HRT is related to an increased risk for osteoporosis-related bone fractures.
4. HRT is related to a decreased risk of breast cancer.
5. The nurse has been working with a 45-year old African American who bicycles to work. Lab tests show low serum lipids. The nurse knows that the client’s risk factors for primary (essential) hypertension include which of the following?
1. Being under the age of 65
2. Race
3. Low serum lipids
4. Active lifestyle
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June 15, 2015
NCLEX Practice Questions: Psychosocial Integrity
1. The nurse cares for an elderly client who appears fully alert and oriented. As it gets later in the day, the nurse notices the client becoming increasingly confused and agitated. It would be MOST appropriate for the nurse to take which of the following actions?
*
1. Reorient the client, and then turn on the lights and television to distract the client from his confusion.
2. Encourage the client’s alert roommate to talk with the client.
3. Tell the client he is at home in his own bed to get him to settle down and go to sleep.
4. Reorient the client, pull the shades down, shut the lights and television off, and promote a quiet environment.
2. On the evening shift, the nurse is caring for a client who will be undergoing a mastectomy in the morning. A call from the front desk alerts the nurse that the client’s family has arrived. It would be MOST appropriate for the nurse to take which of the following actions?
*
1. Tell the family that they cannot come in because visiting hours are over.
2. Tell the client you want to make sure she has some alone time to relax.
3. Invite the family in to offer support after confirming with the client.
4. Tell the nursing assistive personnel (NAP) to sit with the client who needs company.
3. The nurse is caring for a young man who has expressed his desire to commit suicide. He has informed the nurse of plans to pursue this. The nurse requests a sitter to stay with the client around the clock, but the client says he does not want this. Which of the following is the MOST appropriate response by the nurse?
*
1. The nurse allows the young man to refuse, because clients do have a right to refuse care.
2. The nurse implements the intervention, because protecting the client’s safety trumps the client’s right to refuse care.
3. The nurse checks on the client every hour to be sure he is safe.
4. The nurse asks the NAP to check on the client every 30 minutes to be sure he is safe.
4. A client is scheduled to have surgery the following day. The client tells the nurse, “I’m very scared. I have never had surgery before and am afraid that I might not make it through.” Which of the following responses by the nurse is the MOST appropriate?
*
1. “Why do you feel this way?”
2. “Don’t worry, you will be fine.”
3. “Why don’t we take some time to explore why you feel this way?”
4. “It’s completely normal to be scared. You will be taken care of. Tell me how you are feeling.”
5. The nurse is working on a pediatric unit. The client is a 13-month-old child diagnosed with failure to thrive. The parents report that the child cries frequently, does not like to be held, and will not eat. The nurse learns that the child’s uncle lives in the house with the family. When the uncle visits in the hospital, the nurse notices the child acting differently and turning away from the uncle. Sometimes the child’s heart rate increases when the uncle is present. The nurse should take which of the following actions FIRST?
*
1. Immediately report the possible situation of abuse to the authorities.
2. Call the physician, who will probably have more long-term knowledge.
3. Discuss it with other nurses to see which approaches they have taken.
4. Encourage the team that’s caring for the client to have a family meeting including the parents, but not the uncle, to gather more information.
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June 13, 2015
NCSBN Question Bank
You are the of a health care team that consists of one licensed practical/vocational nurse, one nursing assistant , a nursing student and yourself. To whom is it appropriate to assign complete care for
A) Yourself
B) The nursing student
C) The licensed vocational nurse
D) The nursing assistant
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June 12, 2015
NCLEX SATA Practice Test: 5 Questions
1. The nurse is assessing a client newly diagnosed with initial-stage chronic glomerulonephritis. Which of the following findings should the nurse expect to see? Select all that apply.
*
1. Hypotension
2. Proteinuria
3. Severe anemia
4. Hematuria
5. Azotemia
6. Nausea
2. A 76-year-old woman has been admitted to a rehabilitation center after a hip replacement. During an episode of confusion in which she became a danger to herself, the client was placed in a vest restraint. The nurse knows that which of the following are also considered types of restraints? Select all that apply.
*
1. Administering a haloperidol (Haldol) injection
2. Raising 4 bed side rails
3. Assigning a nurse’s aide to sit and observe the client
4. Applying wrist cuffs and tying them to the bed.
5. Clipping a tray across the front of the client’s wheelchair
3. A 75-year-old client has an unsteady gait and requires assistance with ambulation. The nurse decides to use a gait belt. The nurse knows she should do which of the following when using a gait belt? Select all that apply.
*
1. Secure the gait belt loosely around the client’s waist.
2. Twist her upper body to position the client.
3. Remove the gait belt after use.
4. Place the gait belt over the client’s clothes with the clip in front.
5. Use the gait belt to help lift the client from a sitting into a standing position
4. The nurse takes report on a client who underwent a thyroidectomy 24 hours ago. The nurse understands that the client is at risk for hypocalcemia. Which of the following assessment findings indicate the client may be hypocalcemic? Select all that apply.
*
1. Positive Trousseau’s sign
2. Negative Chvostek’s sign
3. Numbness around the mouth.
4. Positive Moro reflex test
5. “Pins and needles” sensation in client’s feet
5. The charge RN is preparing assignments on a busy medical unit. For this shift, there are several LPNs, several RNs, and one NAP. Which of the following assignments by the charge RN is appropriate? Select all that apply.
*
1. The NAP is assigned to give morning baths.
2. An LPN is assigned to perform an initial assessment on a newly admitted client.
3. An LPN is assigned to clients who are prescribed oral medications, and will do vital signs on those clients.
4. The clients with IV medications are divided among the RNs.
5. AN LPN is assigned to insert a urinary catheter.
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June 8, 2015
NCLEX SATA Questions: Pediatric Health Management
The nurse is caring for pediatric clients. Which tasks are most appropriate to assign to an unlicensed assistive personnel (UAP) and/or a licensed vocational nurse (LPN)? Select all that apply.
1. Instruct the LPN to teach the parent of a child new diagnosed with type 1 diabetes.
2. Tell the UAP to apply an ice collar to the child who is 1 day postoperative tonsillectomy.
3. Ask the UAP to place ointment on a child’s diaper rash around the anal area.
4. Request the LPN to double-check the medication dose for the child receiving an antibiotic.
5. Tell the LPN to transcribe the healthcare provider’s orders for the child with cystic fibrosis.
Δ
June 7, 2015
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