NCLEX Practice Exam 7

Question 1

The nurse is aware that the best way to prevent postoperative wound infection in the surgical client is to:

Accepted Answer

Wash her hands for 2 minutes before care

Answer

Administer a prescribed antibiotic

Answer

Wear a mask when providing care

Answer

Ask the client to cover her mouth when she coughs

Question 2

A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

Accepted Answer

Palms rest lightly on the handles

Answer

Elbows are flexed 0°

Answer

Client walks to the front of the walker

Answer

Client carries the walker

Question 3

A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

Accepted Answer

Report chest pain.

Answer

Take the medication with milk.

Answer

Remain upright after taking for 30 minutes.

Answer

Allow 6 weeks for optimal effects.

Question 4

The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

Accepted Answer

Hormonal disturbances

Answer

Lack of exercise

Answer

Lack of calcium

Answer

Genetic predisposition

Question 5

A 2-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

Accepted Answer

The buttocks are 15° off the bed.

Answer

The infant no longer complains of pain.

Answer

The legs are suspended in the traction.

Answer

The pins are secured within the pulley.

Question 6

An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

Accepted Answer

Have narcan (naloxone) available

Answer

Administer oxygen via nasal cannula

Answer

Prepare to administer blood products

Answer

Prepare to do cardio resuscitation

Question 7

A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

Accepted Answer

Checking the client’s blood pressure

Answer

Checking for cervical dilation

Answer

Placing the client in a supine position

Answer

Obtaining a fetal heart rate

Question 8

The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

Accepted Answer

“It will be alright for your friends to autograph the cast.”

Answer

“Because the cast is made of plaster, autographing can weaken the cast.”

Answer

“If they don’t use chalk to autograph, it is okay.”

Answer

“Autographing or writing on the cast in any form will harm the cast.”

Question 9

A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

Accepted Answer

Check the bowel sounds

Answer

Assess the blood pressure

Answer

Offer pain medication

Answer

Check for swelling

Question 10

When critiquing a qualitative study, which of the following questions are helpful in determining the study’s auditability? Select all that apply.

Accepted Answer

Can the reader follow the researcher’s thinking?

Answer

Has adequate time been allowed to understand the phenomenon fully?

Answer

Does the researcher document the research process?