NCLEX Practice Exam 6

Question 1

The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

Accepted Answer

File a formal reprimand

Answer

Call the Board of Nursing

Answer

Terminate the nurse

Answer

Charge the nurse with a tort

Question 2

The client is having electroconvulsive therapy for treatment of severe depression. Which of the following indicates that the client’s ECT has been effective?

Accepted Answer

The client has a grand mal seizure.

Answer

The client loses consciousness.

Answer

The client vomits.

Answer

The client’s ECG indicates tachycardia.

Question 3

The client returns to the unit from surgery with a blood pressure of 90/50, pulse 132, and respirations 30. Which action by the nurse should receive priority?

Accepted Answer

Contacting the physician

Answer

Continuing to monitor the vital signs

Answer

Asking the client how he feels

Answer

Asking the LPN to continue the post-op care

Question 4

The nurse is teaching the mother regarding treatment for enterobiasis. Which instruction should be given regarding the medication?

Accepted Answer

The entire family should be treated.

Answer

Treatment is not recommended for children less than 10 years of age.

Answer

Medication therapy will continue for 1 year.

Answer

Intravenous antibiotic therapy will be ordered.

Question 5

The nurse is observing several healthcare workers providing care. Which action by the healthcare worker indicates a need for further teaching?

Accepted Answer

The nurse wears gloves to take the client’s vital signs.

Answer

The nursing assistant wears gloves while giving the client a bath.

Answer

The nurse wears goggles while drawing blood from the client.

Answer

The doctor washes his hands before examining the client.

Question 6

A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

Accepted Answer

Risk for aspiration

Answer

Body image disturbance

Answer

Impaired verbal communication

Answer

Pain

Question 7

The client is having fetal heart rates of 90–110 bpm during the contractions. The first action the nurse should take is:

Accepted Answer

Turn the client to her left side

Answer

Reposition the monitor

Answer

Ask the client to ambulate

Answer

Prepare the client for delivery

Question 8

A 2-year-old toddler is admitted to the hospital. Which of the following nursing interventions would you expect?

Accepted Answer

Ask the parent/guardian to room-in with the child.

Answer

Ask the parent/guardian to leave the room when assessments are being performed.

Answer

Ask the parent/guardian to take the child’s favorite blanket home because anything from the outside should not be brought into the hospital.

Answer

If the child is screaming, tell him this is inappropriate behavior.

Question 9

Which of the following is a characteristic of a reassuring fetal heart rate pattern?

Accepted Answer

Acceleration of FHR with fetal movements

Answer

A fetal heart rate of 170–180 bpm

Answer

A baseline variability of 25–35 bpm

Answer

Ominous periodic changes

Question 10

George Kent is a 54 year old widower with a history of chronic obstructive pulmonary disease and was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum. He has difficulty in communicating because of his inability to complete a sentence. One of his sons, Jacob, says he has been unwell for three days. Upon examination, crackles and wheezes can be heard in the lower lobes; he has a tachycardia and a bounding pulse. Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L, and PaO2 60 mm Hg. How would you interpret this?

Accepted Answer

Respiratory Acidosis, Partially Compensated

Answer

Respiratory Acidosis, Uncompensated

Answer

Metabolic Alkalosis, Uncompensated

Answer

Metabolic Acidosis, Partially, Compensated

The nurse is suspected of charting medication administration that he did not give.After talking to the nurse, the charge nurse should:

The nurse is suspected of charting medication administration that he did not give.
After talking to the nurse, the charge nurse should: